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卒中应激性高血糖与糖尿病并发卒中的鉴别诊断研究
引用本文:刘祖欣,徐文安,刘锦绣,夏明武,郭琴,洪玉娥,朱求庚,崔绪安.卒中应激性高血糖与糖尿病并发卒中的鉴别诊断研究[J].安徽医学,2001,22(4):4-5.
作者姓名:刘祖欣  徐文安  刘锦绣  夏明武  郭琴  洪玉娥  朱求庚  崔绪安
作者单位:230011,合肥市第二人民医院神经内科
基金项目:安徽省合肥市科技局科研项目;199857号;
摘    要:目的 :探讨糖化血红蛋白和糖化血清蛋白在卒中应激性高血糖与糖尿病并发卒中的鉴别诊断中的作用。方法 :通过测定卒中伴高血糖患者血液中的糖化血红蛋白和糖化血清蛋白水平 ,判断这种血糖升高的原因是应激性高血糖还是糖尿病并发卒中。结果 :2 4例脑出血伴高血糖的患者中 ,应激性高血糖 11例 ,糖尿病并发卒中 13例 ;38例脑梗死伴高血糖的患者中 ,应激性高血糖 8例 ,糖尿病伴发卒中 30例。结论 :糖化血红蛋白和糖化血清蛋白鉴别应激性高血糖与糖尿病并发卒中方法可靠 ,值得推广。

关 键 词:卒中  糖化血红蛋白  糖尿病  糖化血清蛋白  鉴别诊断
修稿时间:2001年4月30日

The differential diagnosis study on irritability hyperglycemia with apoplexy and diabetes' apoplexy
Liu Zuxin,Xu Wenan,Liu Jinxiu,et al..The differential diagnosis study on irritability hyperglycemia with apoplexy and diabetes' apoplexy[J].Anhui Medical Journal,2001,22(4):4-5.
Authors:Liu Zuxin  Xu Wenan  Liu Jinxiu  
Institution:Liu Zuxin,Xu Wenan,Liu Jinxiu,et al.Department of Neurology,Second Hospital of Hefei,Hefei 230011
Abstract:Objective:To inquiry into the differential diagnosis effect of glycosylated hemoglobin and glycosylated serum protein on hyperglycemia of apoplexy diabetes' apoplexy.Methods:The level of glycosylated hemoglobin and glycosylated serum protein is determined,and that the hyperglycemia cause of apoplexy is the irritable hyperglycemia or the diabetes is decided.Results:11 cases of irritable hyperglycemia and 13 cases of diabetes are finded in 24 cases of cerebral hemorrhage with hyperglycemia,8 cases of irritable hyperglycemia and 30 cases of diabetes are finded in 38 cases of cerebral infarction with hyperglycemia.Conclusion:The differential diagnosis methods on hyperglycemia of apoplexy with glycosylated hemoglobin and glycosylated serum protein is dependable,the method is worth to popularize.
Keywords:Apoplexy glycosylated hemoglobin  Diabetes  Glycosylated serum protein  Differential diagnosis
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