大面积脑梗死患者血糖水平与近期预后的关系

目的探讨大面积脑梗死患者血糖水平与病情及近期预后的关系。方法将136例大面积脑梗死患者分为应激性高血糖组（A组）、糖尿病高血糖组（B组）和正常血糖组（C组），观察三组神经功能缺损的评分、近期预后情况。结果A组患者较C组神经功能缺损评分高、近期预后差（均P〈0．05），而与B组比较差异无统计学意义（均P〉0．05）。结论监测大面积脑梗死患者急性期血糖水平对判断病情、预后及指导治疗有重要意义。

Relationship between blood glucose concentration and early prognosis in patients with massive cerebral infarction

Objective To investigate the value of blood glucose concentration in estimating risk stratification and early prognosis in patients with massive cerebral infarction.Methods 136 patients were divided into three groups according to the level of the blood glucose concentrations:group A with irritable hyperglycemia,group B with diabetes' hyperglycemia and group C with normal blood glucose.The early prognosis and the degree of neurologic impairment were observed and compared with three groups.Results The degree of neurologic impairment in group A was significantly higher than that in group C.The patients in group A had higher adverse prognosis than those in group C (P＜0.05).No significance was occurred between group A and group B about the early prognosis and the degree of neurologic impairment(P＞0.05).Conclusion The blood glucose level for the patients suffered from acute massive cerebral infarction is helpful to the diagnosis of disease situation,evaluation for prognosis and instruction for treatment.