血糖水平对脑梗塞的影响

分析１９８例经ＣＴ证实的颈内动脉供血区脑梗塞患者的血糖水平与脑梗塞血管分布、梗塞灶最大直径、神经功能缺损、临床疗效、并发症及死亡率的关系，发现脑梗塞发病后伴有血糖水平升高者多为主干支大灶性梗塞，其神经功能缺损重，临床疗效差，并发症及死亡率高，且并发症及死亡率和血糖水平成正相关。本研究提示，急性脑梗塞患者血糖升高多为机体的应激反应，是病情危重的标志之一，少数可能属隐性糖尿病患者。认为血糖水平升高可加重脑梗塞损害，而适当使用胰岛素降低血糖水平对脑梗塞的治疗是有益的。

THE EFFECT OF SERUM GLUCOSE LEVEL ON ACUTE CEREBRAL INFARCTION

he relationship between the serum glucose level and the cerebral infarct size,neurological deficits,morbidity outcome,complications and mortality was investigated in 198 acute cerebral infarction patients confirmed by computerized tomography.The results suggested that patients with hyperglycemia had larger infarct size,more neurological deficits,worse morbidity outcome,more complications and higher mortality than their normoglycemic counterparts. Our findings indicated that the elevated blood glucose level in most of the patients with cerebral infaretion may be a,stress response or a marifestation of latent diabetes.We considered that the hyperglycemia was a factor aggravating cerebral infarctin and enhancing the degree of neurological deficit and morphological brain damage. The authors are of the opinion that insulin administration be advised in acute cerebral infarction patients with hyperglycemia so as to prevent further deterioration and improve the outcome.