高血糖对脑卒中病情的影响

目的探讨脑卒中后高血糖对脑卒中患者病情的影响。方法检测200例脑卒中急性期(发病后24 h内)患者的首次空腹血糖,分为高血糖组、血糖正常组。根据颅脑CT或MR I记录高血糖组病灶的性质、大小及部位。结果高血糖组患者和血糖正常组患者神经功能缺损评分间差别有显著性意义(P<0.05);两组患者疗效间差别有显著性意义(P<0.05);血糖正常组脑卒中急性期预后与高血糖组间差别有显著性意义(P<0.05);出血组和大病灶组患者的血糖水平分别较缺血组和小病灶组患者明显升高(P<0.01);高血糖组不同病变部位患者血糖水平间差别有显著性意义(P<0.05)。结论脑出血较脑梗死、大病灶较小病灶、近中线部位较远离中线部位患者血糖升高明显,血糖可作为急性脑卒中评估病情的指标之一,高血糖可加重脑卒中患者的病情,应避免引起血糖升高的各种因素。

The Effect of High Blood Glucose on Cerebral Stroke

Objective To investigate the influence of high blood glucose on cerebral stroke.Methods To examine the fasting blood glucose for 200 cerebral stroke patients in the acute stage(after the onset within 24 hours).They were divided into two groups:high blood glucose group and normal blood glucose group.Nidus quality,size and location of patients with high blood glucose were recorded according to CT and MRI.Results There were significant differences of the scores of neural function damage between the two groups patients(P<0.05);the difference of the remedy effect in the two groups was remarkable(P<0.05);the prognosis of the normal blood glucose group in the acute stage was better than that of the high blood glucose group,the difference was remarkable(P<0.05);the level of blood glucose in cerebral hemorrhage group,large size nidus was higher than that in cerebral infarction group,small size nidus group,the difference was very remarkable(P<0.01);the difference of blood glucose level among different locations of high blood glucose group patients was remarkable(P<0.05).Conclusion The increasing level of blood glucose is apparent in cerebral hemorrhage,large size nidus,near the midline brain compared with cerebral infarction,small size nidus,far away from midline of brain;the blood glucose can be used as one of index to appraise condition of acute cerebral stroke.High blood glucose can aggravate cerebral stroke,so advist to avoide all kinds of factors that cause blood glucose to increase.