急性脑梗死患者入院时糖代谢水平与病情演变及预后的关系  

Relation between the blood glucose and clinical aspects and prognosis of acute ischemic stroke

作　　者：樊福强[1] 刘美萍[1] 刘志辉[1] 王春梅[2] 

机构地区：[1]潍坊医学院神经病学教研室,潍坊261031 [2]潍坊医学院附属医院ICU,潍坊261031

出　　处：《中国实用神经疾病杂志》2011年第3期3-5,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨糖代谢水平与急性脑梗死患者病情和预后的关系。方法将171例在我院住院治疗的急性脑梗死患者,根据次日凌晨空腹血糖和糖化血红蛋白水平分为糖尿病和葡萄糖调节受损组、应激性高血糖组、正常血糖组,分析不同血糖水平对急性脑梗死患者入院时神经功能缺损评分、病灶大小和预后的影响。结果正常血糖组神经功能缺损评分低于糖尿病组和应激性高血糖组,梗死灶也较其他2组小,经治疗后总有效率较糖尿病及应激性高血糖组高,差异有统计学意义(P<0.05)。结论急性脑梗死患者入院时空腹血糖水平的测定可作为判定病情、估计预后的指标之一。ObjectiveTo explore the relation between blood glucose and clinical aspects and prognosis of acute ischemic stroke.MethodsOne hundred and seventy-one patients with acute ischemic stroke were admitted to our department and they were divided into three groups,namely,the normoglycemic group,the stress hyperglycemic group and the diabetic and impaired glucose regulation group.The relation between the blood glucose and the clinical aspects and prognosis of acute ischemic stroke was study.ResultsIn the normoglycemic group,neurologic deficits score was below diabetic group and the stress hyperglycemic group,infarcts were small than those of the other two groups.After treatment,the total effective rate was higher than the stress hyperglycemic group and the diabetic group,there was statistically significant difference.ConclusionThe early blood glucose level after acute ischemic stroke might be an index for judging the patient＇s condition,predicting prognosis and guiding therapy.

关 键 词：急性脑梗死 血糖 预后 

分 类 号：R743.33[医药卫生—神经病学与精神病学]