糖尿病和脑梗死后高血糖对急性脑梗死的影响探讨  

Discussion of the influence of diabetes and high blood glucose after cerebral infarction to the acute cerebral infarction

作　　者：梁志丽[1] 邓黎[1] 王少波[1] 周善存[1] 陆首玲[2] 

机构地区：[1]广东医学院附属厚街医院内分泌科,广东东莞523960 [2]广东医学院附属厚街医院神经内科,广东东莞523960

出　　处：《吉林医学》2013年第10期1841-1842,共2页Jilin Medical Journal

摘　　要：目的:观察与探讨糖尿病和脑梗死后高血糖对急性脑梗死的影响。方法:选择脑梗死患者117例,分为糖尿病组10例,高血糖组即脑梗死后高血糖患者组21例,与无糖尿病对照组86例,对这三组患者的具体临床资料进行相应的统计学处理。结果:在斯堪的纳维亚卒中量表评定中,糖尿病组与高血糖组患者的评分均较对照组患者低。此外,糖尿病组和血糖组在合并后出现并发症的几率与死亡率均较对照组高,且差异具有统计学意义(P<0.05)。结论:急性脑血管疾病可能会导致患者血糖升高,而高血糖又会进一步使脑损伤加重,对脑梗死患者的高血糖进行积极的控制,有助于阻断恶性循环。Objective To observe the influence of diabetes and high blood glucose after cerebral infarction to acute cerebral infarction.Method We chose 117 cases of patients with cerebral infarction,divided into 10 cases in the group with diabetes,21 cases in the group with high blood glucose,and 86 cases in the comparison group,specific clinical material of these 3 groups,we carried on the corresponding statistics processing.Results In Scandinavian stroke scale,the score of diabetes and high blood glucose group was lower than that of comparison group,in addition,the merger risk of complications and mortality rate of diabetes and high blood glocosc group was higher than those of conuparison group,and the difference was statistical significance（P0.05）.Conclusion Acute cerebrovascular disease may result in patients with blood glucose,and high blood glucose will further make brain injury aggravated,the cerebral infarction patients,active high blood glucose control can help to block the vicious cycle.

关 键 词：糖尿病 高血糖 急性脑梗死 卒中量表 

分 类 号：R587.1[医药卫生—内分泌] R743.3[医药卫生—内科学]