83例脑挫裂伤病员血糖分析  

Blood Glucose Changes in 83 Cases of Brain Contusion and Laceration

作　　者：吴家玉[1] 熊冠泽[1] 付正英[1] 曾定芬[1] 

机构地区：[1]四川省肿瘤医院ICU,四川省成都市610041

出　　处：《医学理论与实践》2008年第5期500-501,共2页The Journal of Medical Theory and Practice

摘　　要：目的:探讨脑挫裂伤病员应激反应致血糖升高与病情及预后的相关性。方法:对83例脑挫裂伤病员的血糖进行回顾性分析。结果:83例按病情分为重症组42例,轻症组41例,发生高血糖60例,发生率72%。重症高血糖组平均血糖值(10.48±5.05)mmol/L,轻症高血糖组平均血糖值(8.41±1.42)mmol/L。重症高血糖组的死亡率50%,重症正常血糖组的死亡率17%(P<0.01)。结论:脑挫裂伤病员应激性高血糖发生率达72%,病情越重血糖升高越明显,波动范围越大,死亡率越高。对重症脑挫裂伤病员的血糖监测可作为病情预后判断的一个指标。Objective.. To investigate the relationship between the stress elevation of blood glucose level and the condition and prognosis in the patients with brain contusion and faceration（BCL）. Methods： 83 cases of BCL were retrospectively studied. Results.. The rate of hyperglycemia was 72 % （60/83）. 83 patients with BCL were divided into severe group （42 cases） and nonsevere group （41 cases） according to Glasgow Coma scale（GCS）. The average blood glucose value in hyperglycemia cases was（10. 48±5. 05）mmol/L in severe group and（8. 41±1.42）mmol/L in nonsevere. The mortality of severe group was 50% in hyperglycemia, and 17% in normal blood glucose（P〈0. 01）. Condusion：The incidence of stress hyperglycemia is high. The more severe BCL condition is, the higher the blood glucose level and with great fluctuation, and the higher the mortality it induces. The blood glucose levels with severe BCL may be as an index in judging the patient＇s condition and predicting prognosis.

关 键 词：脑挫裂伤 血糖 

分 类 号：R651.15[医药卫生—外科学]