76例丘脑出血患者血糖水平变化的观察研究

目的研究分析丘脑出血患者的血糖水平变化，分析血糖检测对丘脑出血患者的价值。方法选择2009年1月-2011年7月本院收治的丘脑出血患者76例为研究对象，观察患者起病后24h内的血糖变化水平。同时随访患者1年．观察发生高血糖患者与无高血糖患者的预后差异，分析导致高血糖的相关因素。结果76例丘脑出血患者发生高血糖39例，无高血糖37例。高血糖患者肥胖比例高，从发病到人院治疗时间长，与无高血糖患者比较，差异有统计学意义（P〈0．05）。高血糖患者1年内的残疾率高于无高血糖患者，差异有统计学意义（P〈0．05）。结论丘脑出血患者24h内发生高血糖比例较高，主要与患者肥胖、发病到入院的时间有关，且高血糖会直接影响患者预后。

The observation of changes in blood glucose levels in 76 cases of thalamic hemorrhage patients

Objective To study changes in blood glucose levels in patients with thalamic hemorrhage and analyze the value of blood glucose testing on patients with thalamie hemorrhage. Methods From January 2009 to July 2011, 76 cases of the thalamie hemorrhage patients admitted to our hospital were selected as clinical research objects, changes in blood glucose level within 24 h after the onset were observed. Patients were followed up for 1 year. The prognosis of patients with hyperglycemia and patients with no hyperglycemia was observed, and related factors lead to hyper- glycemia were analyzed too. Results In seventy-six cases of patients with thalamic hemorrhage, 39 cases of patients were found with hyperglycemia, and 37 cases with no hyperglycemia. The obesity proportion of patients with hyper- glycemia was higher, and time from onset to hospitalization was longer, compared with patients with no hyperglycemia, difference was significant （P 〈 0.05）, the disability of patients with hyperglycemia in one year was higher than patients without hyperglycemia, the difference was statistically significant （P 〈 0.05）. Conclusion The patients with thalamie hemorrhage occurred within 24 h has a higher proportion of hyperglycemia, it is mainly related to obesity and onset to hospitalization, and high blood sugar will directly affect the prognosis of patients.