重型脑外伤应激性高血糖存活患者血糖转归情况观察

目的探讨重型脑外伤并发应激性高血糖患者血糖含量与其预后的关系及高血糖持续时间。方法根据伤后第2天清晨空腹静脉血血糖值，选择存活期大于3月的重型脑外伤患者，作为观察对象，依据受伤当时GCS评分和GOS预后评分分组，统计高血糖持续天数及血糖值。结果对于存活的脑外伤患者，入院时GCS评分与入院时血糖含量关系不大；其预后与入院时血糖含量及血糖持续天数有密切关系。结论测定血糖是了解重型脑外伤患者预后的重要指标之一，预后较好的患者多在受伤后8天左右血糖恢复正常。

Review of the blood glucose tendency on survived patients with severe brain trauma and stress hyperglycaemia

Objective To survey the relationship between the blood glucose （BG） tendency and prognosis on survived patients after severe brain trauma with stress hyperglycaemia. Methods BG was measured in the next morning after severe brain trauma, and 29 patients surviving 3 months were divided into groups according to the Glasgow Coma Scale （GCS） at trauma time and the Glasgow Outcome Scale （GOS） at the 3rd month .The BG level and the days of hyperglycaemia were observed. Results There was no significant correlation between the BG and GCS （P〉0.05）.But significant correlation was found between the BG and GOS. Conclusion The BG can be as one of the important items to estimate the outcome of severe brain trauma. The BG can be return to nomal level in about 8 days on the patients with favourable prognosis.