急性脑血管病患者血糖变化的临床研究

目的 探讨血糖在不同性质、不同程度急性脑血管病中的变化及其对急性脑血管病的意义和预后的影响。方法 回顾性分析196例非糖尿病患者急性脑血管病时的血糖资料，并与临床进行对比。结果 196例急性脑血管病中脑梗死病例107例，脑出血89例。血糖升高在脑梗死病例中占42％，在脑出血病例中占45％；按部位丘脑内囊组与基底节外囊组两组间差异有显著意义（P〈0．01）；患者意识状态和24h内死亡率在不同血糖浓度差异亦有显著意义（P〈0．01）。结论 急性脑血管病可引起血糖一过性升高，其升高的程度与病情性质无关，与病变部位、范围、病情程度有关，并且影响疾病的转归和预后。

Study on the relation between acute cerebrorascular disease and change of blood glucose concentration

Objective To study the changes of blood glucose concentration of acute cerebrovas-culor disease with different character and various degrees,and its significance and the fluence on prognosis. Methods The blood glucose datas of 196 cases of acute cenebrovscular diseade without DM were retrospectively analysed and compared with the clinical statulo. Results There were 107 cases of cerebral infarction and 89 cases of cerebral hemorrhage in 196 cases of acute cerebrovaocular disease. The blood glucose rose 42% in the cerebral infarction group and 45% in the cerebral hemorrhage group;Based on the location and the range of the lesion, the concentration rising of blood glucose existed significant difference between the group of thalamus and internal capsule and the group of ganglion basal and external capsule(P<0.01) .The patients' conscious state and the death rate within 24 hour existed significant difference between the group of normal rage and the group of various blood glucose concentration(P<0.01). Conclusion Acute cerebrovascular disease can cause a temporary rising of blood glucose concentration, and the rising level is not related to the character of the disease, but is related to the lesions location, rage and the degree of the disease, and further.it can affect the prognosis.