脑出血和重型颅脑伤术后的高血糖控制  

Hyperglycemia Control in the Postoperative of Brain Hemorrhage and Severe Brain Injury

作　　者：陈洁波[1] 葛岭[1] 黄晓伟[1] 

机构地区：[1]上海市杨浦区中心医院神经外科,200090

出　　处：《中国医药指南》2010年第1期14-15,共2页Guide of China Medicine

摘　　要：目的观察高血压性脑出血和重型颅脑损伤术后患者血糖变化,并对胰岛素辅助治疗的疗效进行观测。方法对所有高血压性脑出血和重型颅脑损伤术后的患者,常规给予胰岛素皮下注射(6U/Q6h),应用one touchⅡ型血糖仪连续2周动态检测患者血糖水平。结果高血压性脑出血和重型颅脑损伤术后患者应激性高血糖得到有效控制,且控制不良者预后极差。结论在高血压性脑出血和重型颅脑损伤术后,采用正规胰岛素皮下注射法和血糖仪的连续监测,确实简单易行,安全有效,有助于对术后病情的评估和预后的判断。Objective To observe the blood sugar change in the postoperative patients of hypertensive brain hemorrhage and severe brain injury. To evaluate the effect of insulin therapy. Method All the postoperative patients of hypertensive brain hemorrhage and severe brain injury were injected insulin hypodermal 6U/Q6h. The level of blood sugar was monitered consecutive two weeks dynamically with II -type blood sugar instrument. Result The hyperglycemia of these postoperative patients was effectively controlled. Meanwhiles, The prognosis were bad in the patients whose hypertensive was controlled not so good. Conclusion Routine insulin hypodermic injection and consecutive blood sugar monitor in the hypertensive brain hemorrhage and severe brain injury postoperative patients was simple, safe and effective. It was useful to evaluate the illness and prognosis.

关 键 词：高血压性脑出血 重型颅脑伤 胰岛素 应激性高血糖 

分 类 号：R743.2[医药卫生—神经病学与精神病学]