【摘要】 目的 探讨高血糖与脑梗死患者预后的关系。方法 检测142例脑梗死患者急性期(24h内)空腹血糖和果糖胺,并分别于入院时及第1,2,4周行神经功能缺损评分。结果(1)神经功能缺损评分入院2周内应激性高血糖组、糖尿病组损伤程度明显高于血糖正常组(P<0.05);(2)脑梗死患者死亡率应激性高血糖组、糖尿病组高于血糖正常组(P<0.05);(3)脑梗死患者预后血糖正常组好于单纯应激性高血糖组、糖尿病组(P<0.05)。结论 血糖检测应作为急性脑梗死患者评估病情及预后、选择治疗方案的有效手段。更多还原

【Abstract】 Objective To investigate the relationship between hyperglycemla and prognosis of cerebral infraction. Methods 142 cases with cerebral infraction were divided into 3 groups : the pure irritability hyperglycemia group, the diabetes mellitus group and the normal group, concentrations of blood sugar in the patients were detected during the first 24 hours after the onset of the disease. Assays of nerve function were carried out at the time of inhospitalization ,1,2 and 4 weeks respectively. Results (1) During the first two weeks,default of nerval function in the pure irritability hyperglycemia group and the diabetes meillitus group were high than that of the normal group significantly(P <0. 05 ). (2)In death rate,that in the pure irritability hyperglycemia group and the diabetes mellitus group were higher than that in the normal group significantly(P <0.05). (3)The prognosis in the normal group were optimistic than that in other two groups. Conclusion Detection of blood sugar could be served as an effective tool in the assessment oi the illness, the prognosis and the selection of therapy.更多还原