自发性脑出血急性期血糖水平的临床意义

目的探讨自发性脑出血急性期血糖水平变化的临床意义。方法根据入选标准选择103例经头颅CT确诊的自发性脑出血患者,依空腹血糖水平分为血糖正常组（血糖〈6.1 mmol·L^-1）和血糖升高组（血糖〉6.1 mmol·L^-1）,分析2组患者的预后情况。结果血糖升高组死亡率高于血糖正常组（χ^2=6.24,P〈0.05）;2组NIHSS评分在治疗后第1、7天比较差异无统计学意义（P〉0.05）,第21天差异有统计学意义（P〈0.05）。结论自发性脑出血患者急性期空腹血糖水平越高,死亡风险可能越高,神经功能恢复越慢。

The study on clinical significance of blood glucose levels in spontaneous intracerebral hemorrhage

Objective To investigate the clinical significance of blood glucose levels changes in spontaneous intracerebral hemorrhage patients. Methods 103 cases with spontaneous intracerebral hemorrhage diagnosed by CT were selected. They were divided into normal blood glucose（ blood glucose〈 6. 1 mmol·L^-1） and hyperglycemia group（ blood glucose〉 6.1 mmol·L^-1）. The mortality rate and clinical neurological deficit scores were analyzed. Results The mortality rate of hyperglycemia group was higher than was in normal blood sugar group（ χ^2= 6. 242,P〈0. 05）; The NIHSS scores of the two groups after the first day and seventh day was not statistically significant（ P〈0. 05）,and the difference was statistically significant on 21 st day（ P〈0. 05）. Conclusion The fasting blood glucose level is related with the risk of death and the recovery of neurological function in spontaneous intracerebral hemorrhage patients.