急性脑血管病应激性血糖变化与预后的关系

目的 探讨急性脑血管病患者应激性高血糖与中风类型、病情轻重、预后的关系.方法 对急性脑血管病患者326例进行分析,其中出血性中风116例,缺血性中风210例,于入院次日晨检测空腹血糖,观察其值的变化及其与脑卒中类型、病情轻重、预后关系.结果 急性脑血管病患者易出现应激性高血糖;出血性中风组血糖(9.87±2.36)mmol/L]明显高于缺血性中风组(6.98±1.89)mmol/L](P<0.01);高血糖组死亡率明显高于非高血糖组(P<0.01).结论 急性脑血管病患者存在应激反应,应激性高血糖可以作为判断急性脑血管病病情、预后评估的指标之一.

The relationship between acute cerebrovascular disease and irritable hyperglycemia developing of illness and prognosis

Objective To explore the relationship between irritable hyperglycemia and stroke type, developing degree of stroke type, developing of illness and prognosis in ACVD. Methods We detected 326 patients who suffered from ACVD, of which 116 cases were intracerebral hemorrhage and 210 cases were cerebral ischemia. The detected items include the fasting blood-glucose next morning, to observe the relationship between irritable hyperglycemia on stroke type, developing of illness and prognosis in ACVD. Results The results showed that patients who involved in ACVD constantly turned up irritable hyperglycemia; the increasing level of blood-glucose was apparent in intracerebral hemorrhage compared with cerebral ischemia. The death rate in hyperglycemia apparently increased (P<0.01). The fasting blood-glucose markedly increased in dead index compared with survival index. There are significantly difference (P<0.01). Conclusion There really exists damage from stress reponse in ACVD and hyperglycemia is one of indicators for stroke type, developing of illness and prognosis.