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急性脑卒中患者糖代谢异常研究
引用本文:李刚,禇晓凡,邹良玉.急性脑卒中患者糖代谢异常研究[J].中国实用神经疾病杂志,2009,12(7).
作者姓名:李刚  禇晓凡  邹良玉
作者单位:暨南大学第二临床医学院神经内科,深圳,518020
摘    要:目的 探讨急性脑卒中患者糖代谢异常的流行状况.方法 将202例新发脑卒中连续病例分为已知糖尿病组和非已知糖尿病组,对所有空腹血糖(fasting plasma glucose,FPG)<7.0mmol/L的非已知糖尿病患者均行糖耐量试验(oral glucose tolerance test,OGTT) .结果 急性脑卒中患者糖代谢异常的比例高达 66.4%,其中单纯性负荷后高血糖(isolated postprandial hyperglycemia,IPH)为 14.4%,单纯性糖耐量受损(isolated impaired glucose tolerance, I-IGT)为 23.3%.若不进行OGTT试验,仅依靠检测空腹血糖,将有100%I-IGT患者和80.6%糖尿病患者被漏诊.结论 急性脑卒中患者中存在普遍的糖代谢异常,糖耐量试验是及时发现I-IGT和IPH的有效方法.

关 键 词:急性脑卒中  糖代谢异常  糖耐量试验

Study on dysglycemia in the patients with acute stroke
Li Gang,Chu Xiaofan,Zou Liangyu.Study on dysglycemia in the patients with acute stroke[J].Chinese Journal of Practical Neruous Diseases,2009,12(7).
Authors:Li Gang  Chu Xiaofan  Zou Liangyu
Institution:Li Gang,Chu Xiaofan,Zou Liangyu.Department of Neurology,Second School of Clinical Medicine,Jinan University,Shenzhen 518020,China
Abstract:Objective To investigate the profile of dysglycemia in the patients with acute stroke.Methods The fasting blood glucose(FPG) of 202 patients hospitalized with acute stroke was examined,then oral glucose tolerance test(OGTT) was examined in the patients without diabetes mellitus(DM) history whose FPG was less than 7.0 mmol/L.Results The proportion of dysglycemia was 66.4% in the patients with acute stroke,and the proportion of isolated postprandial hyperglycemia (IPH) was 14.4%.The proportion of isolated imp...
Keywords:Acute stroke  Dysglycemia  OGTT  
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