老年急性丘脑出血患者血糖水平与预后的临床分析  

Effect of blood glucose level on prognosis of elderly acute thalamic hemorrhage patients

作　　者：胡登科[1] 刘利生[1] 刘晓海[1] 杨昆胜[2] 

机构地区：[1]连云港市第四人民医院内科,222002 [2]昆明医科大学第一附属医院神经内科

出　　处：《中华老年心脑血管病杂志》2013年第12期1305-1306,共2页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨不同血糖水平对老年急性丘脑出血预后的影响。方法选择急性丘脑出血患者106例,根据入院后早期(24h)空腹血糖水平分为血糖正常组38例,轻度升高组21例,中度升高组23例,重度升高组24例,对各组预后进行对比分析。结果血糖正常组和轻度升高组基本痊愈率明显高于中度升高组和重度升高组,并发症发生率和病死率明显低于中度升高组和重度升高组(P<0.05,P<0.01)。结论老年急性丘脑出血早期血糖中度和重度升高的患者预后明显较血糖正常及轻度升高者差,而血糖轻度升高并不改变患者的预后。Objective To study the effect of blood glucose level on the prognosis of elderly acute thalamic hemorrhage patients. Methods One hundred and six elderly acute thalamic hemorrhage patients were divided into normal blood glucose group （n ; 38）, mildly elevated blood glucose group （n=21）,moderately elevated blood glucose group （n=23） and significantly elevated blood glucose group （n=24） according to their fasting blood glucose level. Their prognosis was compar- atively analyzed. Results The basic cure rate of acute thalamic hemorrhage was significantly higher whereas the incidence of complications and mortality were significantly lower in normal blood glucose group and mildly elevated blood glucose group than in moderately elevated blood glucose group and significantly elevated blood glucose group （P 〈0.05, P 〈0.01）. Conclusion The prognosis is poorer in elderly acute thalamic hemorrhage patients with moderately and signif- icantly elevated blood glucose than in those with normal and mildly-elevated blood glucose. Mildly elevated blood glucose does not affect the prognosis of elderly acute thalamic hemorrhage pa-tients.

关 键 词：丘脑 脑出血 血糖 下丘脑一垂体系统 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]