单纯性空腹血糖调节受损对脑梗塞患者预后的影响  

The influnce of isolated impaired fasting glycaemia on the prognosis of cerebral infarction.

作　　者：郭雯[1] 林航[1] 穆军山[1] 叶建新[1] 华承磊[1] 

机构地区：[1]南京军区福州总医院神经内科

出　　处：《福州总医院学报》2010年第2期82-82,81,共2页Journal of Fuzhou General Hospital

摘　　要：目的:探讨单纯性空腹血糖调节受损对脑梗塞患者预后的影响。方法:随即选择脑梗塞后正常血糖患者34例,单纯性空腹血糖调节受损患者45例,糖尿病患者36例,在发病后4、12、24周用改良的Rankin量表(modifiedRankin in Scale,mRs)评定患者的病残程度。结果:单纯性空腹血糖调节受损组发病4周、12周及24周的预后不良率分别为60%、46.7%、33.3%,糖尿病组分别为67.7%、50.0%、41.6%,与正常血糖组的29.4%、17.6%、11.76%相比,差异均有统计学意义(P均小于0.05),而单纯性空腹血糖调节受损组与糖尿病组之间的差异无统计学意义。结论:伴有单纯性空腹血糖调节受损的脑梗塞患者预后不良,治疗脑梗塞的同时应积极监测和治疗空腹血糖调节受损。Objective： To analyze the influence of isolated impaired fasting glycaemia on the progncsis of cerebral infarction. Method： 35 case of cerebral infarction with euglycem, 45 case of cerebral infarction with IFG and 36 case of cerebral infarction with diabete were analyzed. The prognosises of 4th week, 12th and 24th week after cerebral infarction were observed prospectively. At 4^th week, 12^th and 24^th week after cerebral infarction, the race of bad prognosis of the patients with IFG and diabetesmellitus were higher than patients with euglycpmia,The difference were smlistically significant. But the difference of rate of bad prognosis was not statistically significant bewteen patient with IFG and diabetesmellitus.Conclusion： IFG had poor influence on the prognosis of cerebral infarction as same as diabetes. The way of monitoring and correcting IFG may be a good measure to improve the prognosis of cerebral infarction.

关 键 词：脑梗塞 糖尿病 单纯性空腹血糖调节受损 预后 

分 类 号：R512.5[医药卫生—内科学]