脑外伤急性期血糖水平变化与病情变化的监护关系  

作　　者：程锦珍[1] 李格宁[1] 廖丽茹 庄少丽[1] 

机构地区：[1]深圳市人民医院(暨南大学第二临床医学院),518000

出　　处：《当代医学》2012年第10期4-5,共2页Contemporary Medicine

摘　　要：目的探讨脑外伤后急性期的血糖水平变化与病情变化的监护关系,为临床护理提供有价值的参考指标。方法将98例颅脑外伤病人按格拉斯哥昏迷评分(GCS)分为:重型组(3～8分)26例,中型组(9～13分)44例,轻型组(13～15分)28例,测定入院时及伤后第1、2、3天、伤后1周的空腹血糖值。回访病人3、6、12个月后康复情况。结果入院时血糖检测结果与正常值比较,轻型颅脑损伤者血糖水平与正常值无统计学意义,中型及重型颅脑损伤者血糖水平明显高于正常值,伤后第3天血糖显著升高,伤后1周血糖仍保持较高水平且比首次检测结果高。结论入院时血糖水平与病情的变化有一定相关关系,可作为脑外伤急性期监护的一个指标。Objective To study the relationship of the blood glucose levels and the nursing of the patients with acute brain injury, Methods The empty abdomen serum glucose levels of 98 patients with acute brain injury on admission,and within 24,48,72 hours and I week after admission were retrospectively analyzed to compare patients in the hyperglycemia group with those in normoglycemia group, but also the glucose levels of different GCS scores in the hyperglycemia, and study the relation between the glucose levels and the nursing the patients. Results The differences of the blood glucose levels with the differences the severity and the prognosis of the patients with acute brain injury and differences the nursing. Conclusion The blood glucose levels may be a guides the nursing of the patients with acute brain injury.

关 键 词：颅外伤 血糖监测 监护 

分 类 号：R651.1[医药卫生—外科学]