血糖对部分前循环梗死预后的影响  

Effect of blood glucose level on prognosis in patients with partial anterior circulation infarction

作　　者：殷雁[1] 尹琳[1] 辛世萌[1] 

机构地区：[1]大连医科大学附属第二医院神经内科,116027

出　　处：《中华老年心脑血管病杂志》2013年第11期1178-1180,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨急性期血糖水平对部分前循环梗死近期及远期预后的影响。方法选择部分前循环梗死患者94例,按入院24h内患者血糖水平分组,血糖正常组28例,单纯应激性高血糖组36例,糖尿病组30例。分别于入院、住院14d及6个月时进行神经系统功能缺损评分,包括美国国立卫生研究院卒中量表(the National Institutes of Health Stroke Scale,NIHSS)、Bathe1指数(Bathel index,BI)以及改良Rankin量表(modified Rankin scale,mRS)评分。比较各组血糖水平与预后的关系。结果与血糖正常组比较,单纯应激性高血糖组和糖尿病组入院、住院14d及6个月NIHSS评分、mRS评分明显升高,BI明显降低,差异有统计学意义(P<0.05);与单纯性应激性高血糖组比较,糖尿病组住院14d及6个月BI明显降低,入院、住院14d及6个月NIHSS评分、mRS评分明显升高,差异有统计学意义(P<0.05)。结论部分前循环梗死患者急性期血糖水平与预后明显相关,合并糖尿病患者的近期及远期预后均差。Objective To study the effect of blood glucose level on short- and long-term prognosis in patients with partial anterior circulation infarction. Methods Ninety-two partial anterior circulation infarction patients were divided into normal blood glucose group （n= 28）, simple stress hy-perglycaemia group （n=36）,and diabetes mellitus group （n=30） according to their blood glucose level within 24 h after admission. The function of their nervous system was scored according to the National Institutes of Health Stroke Scale （NIHSS）,BI and modified Rankin scale （mRS） at admission, 14 days and 6 months after admission, respectively. The relation between blood glucose level and prognosis were analyzed in partial anterior circulation infarction patients. Results The NIHSS and mRS scores were significantly higher whereas the BI was significantly lower in simple stress hyperglycaemia group and diabetes mellitus group than in normal blood glucose group,and in diabetes mellitus group than in simple stress hyperglycaemia group at admission, 14 days and 6 months after admission （P〈0.05）. Conclusion The blood glucose level is closely related with the prognosis in partial anterior circulation infarction patients. The short- and long-term prognosis is poor in partial anterior circulation infarction patients with diabetes mellitus.

关 键 词：血糖 脑梗死 糖尿病 预后 卒中 

分 类 号：R743.33[医药卫生—神经病学与精神病学]