应激性高血糖对脑出血开颅血肿清除术后患者GOS评分的影响  

Effect of Stress Hyperglycemia on GOS Scores in Patients with Intracerebral Hemorrhage after Craniotomy Hematoma Evacuation

作　　者：姚国防 YAO Guofang(Department of Neurosurgery,Affiliated Hospital of Heze Medical College,Heze 274000,China)

机构地区：[1]菏泽医学专科学校附属医院神经外科,山东菏泽274000

出　　处：《中国医学创新》2025年第8期43-46,共4页Medical Innovation of China

摘　　要：目的:分析应激性高血糖(SHG)对脑出血开颅血肿清除术后患者格拉斯哥预后评分量表(GOS)评分的影响。方法:收集菏泽医学专科学校附属医院神经外科收治的80例脑出血患者的临床资料,时间为2020年5月—2024年8月。根据脑出血后是否发生SHG将患者分为SHG组(随机血糖≥11.1 mmol/L)和非SHG组(随机血糖<11.1 mmol/L),各40例。比较两组术后住ICU时间/住院时间、GOS评分、术后不良事件发生情况。结果:SHG组再出血、颅内感染发生率均高于非SHG组,差异均有统计学意义(P<0.05);SHG组术后住ICU时间/住院时间大于非SHG组,差异有统计学意义(P<0.05);术后3个月,SHG组GOS评分显著低于非SHG组,差异有统计学意义(P<0.05)。结论:SHG会延长脑出血开颅血肿清除术后患者住ICU时间,影响患者预后,增加术后不良事件发生风险。Objective:To analyze the effect of stress hyperglycemia(SHG)on Glasgow outcome scale(GOS)scores in patients with intracerebral hemorrhage after craniotomy hematoma evacuation.Method:The clinical data of 80 patients with intracerebral hemorrhage admitted to the Department of Neurosurgery,the Affiliated Hospital of Heze Medical College from May 2020 to August 2024 were collected.Patients were divided into SHG group(random blood glucose≥11.1 mmol/L)and non-SHG group(random blood glucose<11.1 mmol/L)according to whether SHG occurred after intracerebral hemorrhage,40 cases in each group.The postoperative ICU stay/hospitalization time,GOS scores and postoperative adverse events were compared between the two groups.Result:The incidence of rebleeding and intracranial infection in SHG group were higher than those in non-SHG group,the differences were statistically significant(P<0.05).The postoperative ICU stay/hospitalization time in SHG group was higher than that in non-SHG group,the difference was statistically significant(P<0.05).3 months after surgery,GOS score in SHG group was significantly lower than that in non-SHG group,the difference was statistically significant(P<0.05).Conclusion:SHG will prolong the ICU stay of patients with intracerebral hemorrhage after craniotomy hematoma evacuation,affect the prognosis of patients and increase the risk of postoperative adverse events.

关 键 词：应激性高血糖 脑出血 开颅血肿清除术 预后 

分 类 号：R65[医药卫生—外科学]