【摘要】 对５３例颅脑损伤患者进行血糖和胰岛素（ＩＮＳ）动态监测。结果表明，伤后入院时血糖较正常人普遍升高。血糖升高的幅度与颅脑损伤的程度呈正相关。ＧＯＳ预后评定，血糖越高，预后越差。血糖持续增高或降低后再度增高是继发性脑损伤预后不良的表现，当血糖＞１１ｍｍｏｌ／Ｌ时预后不良。治疗高血糖对颅脑损伤患者转归有重要意义更多还原

【Abstract】 Measuring the blood sugar and inslin of 53 patients whose brain were injured,we founded that the blood sugar of patients was higher than normal people The more serious brain injury the higher blood sugar There is significant correlation between brain injury and blood sugar(P<0 01) The higher blood sugar the worse prognosis which was evaluated by GOS If the blood sugar was increased persistently or increased after decreasing It suggested that the prognosis of secondary brain injury was severe The paper indicated the importance of curing hype rglycemia to prognosis of brain injury更多还原