胰岛素治疗高血压脑出血后应激性高血糖

目的：探讨非糖尿病高血压脑出血后应激性高血糖及胰岛素治疗对其预后的影响。方法：将收治的高血压脑出血应激性高血糖患者49例按格拉斯哥昏迷评分（GCS），3-8分为重型组18例，9～15分为轻型组31例。两组患者随机分成胰岛素治疗组与对照组，观察治疗1个月。结果：GCS与血糖水平显著相关（P〈0．05）。用胰岛素治疗能降低重型组患者感染性并发症的发生率，改善重型患者的预后（P〈0．05）。结论：测定血糖有助于了解脑出血的严重程度、评估患者预后。胰岛素能改善重型高血压脑出血患者的预后。

Insulin treatment of stress hyperglycemia after hypertensivc cerebral hemorrhagc

Objective：To investigate the stress hyperglycemia after hypertensivc cerebral hemorrhagc in the patients with nondiabetes and the influence of the insulin treatment on prognosis. Methods：Forty-nine hypersive cerebral hemorrhage patients with stress hyperglycaemia were divided into two groups according to Glasgow coma score （GCS）：severe group,which score was 3-8 points and ineluded 18 patients,and mild group,which score was 9-15 points and included 31 patients.The patients in each group were divided into the insulin treatment group and the control group at random.The results of the patients treated with Insulin for one month were investigated. Results： GCS was significantly correlated with blood sugar level （P〈0.05）.Insulin treatment could decrease the incidence rate of infections complication and improve the prognosis in the severe group（P〈0.05）. Conclusion：To monitor the lever of blood sugar is beneficial to understand the severity of cerebral hemorrhage and evaluate the prognosis. Insulin treatment can improve the prognosis of severe hypertensivc cerebral hemorrhagc.