急性脑血管病患者血清胰岛素的变化

目的：探讨血清胰岛素（In)在急性脑血管病（ACVD）中的作用和意义。方法：采用放射免疫法测定了100例ACVD患者急性期和恢复期血清In的水平。80例非脑血管病人对照组。结果：ACVD患者血清In明显高于对照组（P＜0．01），但在脑出血和脑梗塞间相比无明显差异（P＞0．05），结论：血清In在ACVD患者中起主要作用，可能是ACVD患者潜在危险因素。监测血清In水平，不仅能预测ACVD的病情，估计预后，且有助于指导临床治疗。

The changes of serum insulin in patients with acute cerebral vascular disease

Objective To investigate the effect and importance of serum insulin (SI) in acute cerebral vascular disease (ACVD).Methods 100 ACVD patients were detected with radiate immune assay,and 80 patients who suffer other diseases were chose as control.Results The SI level was significantly higher in patients compared with controls( P <0.01);no significant difference was found in the SI level between the patients with cerebral hemorrhage and with cerebral infarction( P >0.05).Conclusion The results indicated that SI plays an important role in ACVD.Monitorting of serum insulin level would not only predict ACVD patients condition but also help to instruct clinical therapy.