急性脑梗死患者血糖水平对病情及早期预后的影响研究  

Impacts of Blood Glucose Levels on Condition and Prognosis of Patients with Acute Cerebral Infarction

作　　者：刘伟民[1] 陈薇[1] 张艳[1] 

机构地区：[1]贵州省贵阳市第一人民医院神经内科,550002

出　　处：《中国全科医学》2010年第29期3265-3267,共3页Chinese General Practice

摘　　要：目的探讨急性脑梗死患者血糖水平与临床病情严重程度以及早期预后的关系。方法将75例急性脑梗死患者按入院次日空腹血糖水平分成血糖升高组28例,血糖正常组47例,分析血糖与梗死部位、神经功能缺损程度(用美国国立研究院卒中量表进行评分)以及预后的关系。结果急性脑梗死正常血糖组与高血糖组患者神经功能缺损严重程度比较,差异有统计学意义(P<0.01);急性脑梗死不同病变部位患者高血糖发生率比较,差异无统计学意义,(P>0.05);两组患者治疗后临床疗效比较,差异有统计学意义(P<0.05)。结论高血糖可能加剧急性脑梗死患者神经系统损害,血糖水平的高低可作为判断病情轻重和预后的重要参考指标。Objective To explore the dynamic changes of the levels of blood glucose（BG） and its relationship to clinical manifestations in patients with acute cerebral infarction（ACI）.Methods Seventy-five ACI patients were divided,according to BG level on second day after admission,into groups A（n=28,with higher BG）,B（n=47,with normal BG）.The relationship of BG to infarct location,degree of neurological deficit（using United States National Institute of Stroke Scale,NIHSS）and prognosis was analyzed.Results There was significant difference in severity of neurological deficit between 2 groups（P〈0.01）;no significant difference in BG incidence was noted between patients with infarct in different diseased regions（P〉0.05）;there was significant difference in clinical efficacy between 2 groups（P〈0.05）.Conclusion Hyperglycemia may aggravate damages to nervous systems in ACI patients.Level of BG can be used as an important index for assessment of severity and prognosis.

关 键 词：脑梗死 血糖 预后 

分 类 号：R743.33[医药卫生—神经病学与精神病学]