空腹血糖水平对急性脑梗死患者病情的影响研究  

Impact of fasting plasma glucose levels on condition of patients with acute cerebral infarction

作　　者：毛琴[1] 黄红[1] 李燕[1] 方蒡[1] 

机构地区：[1]云南省第一人民医院干部保健科,云南昆明650032

出　　处：《中国医药科学》2013年第8期203-204,共2页China Medicine And Pharmacy

摘　　要：目的通过对急性脑梗死患者的空腹血糖水平进行测定和分析,探讨血糖水平与急性脑梗死患者卒中严重程度的关系。方法选择来院时经头CT和(或)MRI+DW1证实为急性脑梗死的209例患者为研究对象。所有患者均于来院次日晨抽空腹静脉血,进行血糖、血尿酸、胆固醇、甘油三酯、血肌酐等测定。采用美国国立卫生研究院卒中量表(NIHSS)分别在患者入院、出院时对其神经功能缺损状况进行评定。结果高血糖水平与患者出院时的NIHSS评分呈正相关(r=1.731,P=0.034)。血尿酸水平与患者出院时的NIHSS评分也呈正相关(r=2.980,P=0.000)。结论在急性脑梗死早期对血糖进行干预、控制,有利于改善患者的神经功能缺损状况。Objective To explore the correlation between fasting plasma glucose levels and stroke severity in patients with acute cerebral infarction by assaying the blood sugar of the stroke patients. Methods The data of 209 patients with ischemic stroke by head CT and/or MRI＋DWI confirmed were collected. All patients to the hospital the next day morning pumping fasting blood, the glucose, uric acid, cholesterol, triglycerides and creatinine were determined as well as the score was evaluated by NIHSS. Results The high plasma glucose levels of the patients with acute cerebral infarction was positively correlated with patients＇ discharge NIHSS score（r=1.731, P=0.034）Serum uric acid levels with the patient at discharge NIHSS score was positively correlated（r=2.980, P=0.000）. Conclusion Plasma glucose early Intervention and treatment might be able to improve the patient＇s neurological deficit situation.

关 键 词：急性脑梗死 血糖 卒中严重程度 

分 类 号：R743.33[医药卫生—神经病学与精神病学]