【摘要】 目的:探讨脑梗死急性期血糖控制水平与预后的关系。方法:将脑梗死后高血糖(血糖值高于6.1 mmol/L)患者随机分为对照组和治疗组,各45例,血糖分别控制在4.4～6.1 mmol/L、6.1～8.3 mmol/L,观察2组患者的病死率、感染率、低血糖的发生率和神经功能恢复情况,了解患者预后。结果:2组患者病死率、感染率及住院第7天、第14天神经功能评分无显著差异。但治疗组低血糖发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:脑梗死急性期将血糖控制在6.1～8.3 mmol/L预后较好,控制过低易发生低血糖反应,影响预后。更多还原

【Abstract】 Objective Approach the relationship of blood glucose control level and prognosis of acute cerebral infarction.Methods Acute cerebral infarction patients with hyperglycemia were divided into two groups in random fashion;blood glucose of 45 cases in control group were controled in 4.4—6.1 mmol/L.and the blood glucose of the other 45 cases in therapy group were controled in 6.1—8.3 mmol/L.Fatality,infection rate,hypoglycemia rate and the score of stroke patients clinical neural function defect were observed.Results There were no statilstical differences in fatality,infection rate and score values of the National Institute of Health stroke scale(NIHSS) after 7 days and 14 days.In contrast to control group.hypoglycemia rate of therapy group was significantly lower(P<0.05).Conclustion Blood glucose controled in 6.1-8.3 mmol/L can have better prognosis than which controled in 4.4-6.1 mmol/L in the treatment of acute cerebral infarction patients with hyperglycemia.更多还原