【摘要】 对 2 4 9例急性脑梗死患者入院后查空腹血糖 ,空腹血糖正常者则查糖耐量试验 ( OGTT) ,然后将患者分为3组 :糖尿病组、糖耐量受损组和正常血糖组。对此 3组患者近期预后进行分析。结果发现不仅糖尿病组预后较正常组差 ,空腹血糖正常但糖耐量受损的患者预后也较正常组差 ( P<0 .0 1)。讨论了其影响预后的机制并提出在急性脑梗塞早期 ( 2 4 h内 )应禁止或慎重使用葡萄糖或含糖液体更多还原

【Abstract】 Fast blood sugar (FBS) levels were examined in 249 cases of acute ischemic stroke after admission Those with normal FBS levels received oral glucose tolerance test (OGTT) Then, the 249 patients were divided into three groups: diabetes group, impairment glucose tolerance (IGT) group and normal glucose group (control) Prognosis was analyzed among the three groups It was showed that the prognosis of cerebral infarction patients with diabetes or IGT was poor than the patients with normal glucose ( P <0 01) The mechanisms affecting the prognosis were discussed It was revealed that glucose or solutions containing glucose should be forbid to use in the early state of acute cerebral infarction更多还原