颅脑损伤后应激性高血糖与预后的关系

目的:探讨颅脑损伤后应激性高血糖患者血糖含量与其预后的关系.方法:选择符合入选条件的颅脑损伤患者52例,均于入院后即刻测血糖1次,并对患者进行格拉斯哥昏迷评分.在出院当日对其进行格拉斯哥预后评分,并根据格拉斯哥预后评分将52例患者分为预后良好组(格拉斯哥预后评分4 ～5级)和预后较差组(格拉斯哥预后评分1 ～3级).分析两组患者间入院血糖与预后的关系.结果:预后良好组与预后较差组组间入院血糖差别有统计学意义(P＜0.01).入院血糖越高,预后越差.预后良好组入院血糖较预后较差组低.结论:颅脑损伤患者的入院血糖值可作为早期预测预后的简便指标.

The relationship between stress hyperglycaemia and prognosis after craniocerebral injury.

Objective： To investigate the relationship between the blood glucose and prognosis on patients with craniocerebral injury and stress hyperglycaemia. Methods： The blood glucose was measured in a moment when patients arrived at hospital after craniocerebral injury and we divided all 52 patients into two groups according to the Glasgow outcome scale（GOS） in the day when they departed from the hospital. One group was favourable prognosis and the other was the worse one. To analyse the relationship between the blood glucose and prognosis on the two groups. Results ： The level of blood glucose in the case of craniocerebral injury was higher than the normal reference（ P 〈 0.01 ）, and the higher the level of the blood glucose at admission, the worse the prognosis. Conclusion ： The level of the blood glucose at admission can be as one of the convenient items to estimate the prognosis of patients after craniocerebral injury.