入院时血糖水平对脑出血后血肿增大的影响  

Effect of admission blood sugar level on the hematoma increases after cerebral hemorrhage

作　　者：周宏智[1] 严晓铭[1] 陈鑫[1] 姜立志[1] 

机构地区：[1]南通大学附属医院神经内科,南通226001

出　　处：《南通大学学报（医学版）》2013年第4期250-252,共3页Journal of Nantong University(Medical sciences)

摘　　要：目的:探讨入院时的血糖水平对脑出血后血肿增大及预后的意义。方法:根据Brott标准将196例脑出血患者分为血肿增大组和血肿不增大组,利用单变量和多变量分析探究入院时血糖水平对血肿增大及预后的影响。结果:与血肿不增大组相比,血肿增大组入院时血糖、饮酒比例、收缩压、低密度脂蛋白胆固醇升高,纤维蛋白原显著降低(P<0.05)。多因素Logistic回归分析显示,入院时血糖、收缩压、低密度脂蛋白胆固醇为血肿增大的独立预测因素。结论:入院时血糖水平是脑出血患者血肿增大的独立预测因素。Objective： To investigate the significance of admission blood glucose level on hematoma growth and the prognosis after intracerebral hemorrhage.Methods： 196 patients with intracerebral hemorrhage were divided into two groups according to Brott＇s diagnostic criteria：patients with hematoma growth and patients without hematoma growth.Univariate and multivariate analyzes were used to access the impact of admission blood glucose level on hematoma growth and the prognosis.Results： Compared with the patients without hematoma growth,the patients with hematoma growth had a higher admission blood glucose level,higher proportion of drinking,higher systolic blood pressure,higher low-density lipoprotein cholesterol level and lower fibrinogen level（P〈0.05）.The multivariate Logistic regression analysis showed that admission blood glucose level,systolic blood pressure,and low-density lipoprotein cholesterol level were independent predictors of hematoma growth.Conclusion： Admission blood glucose level is an independent predictor of hematoma growth after intracerebral hemorrhage.

关 键 词：脑出血 血肿增大 血糖水平 

分 类 号：R743.34[医药卫生—神经病学与精神病学]