脑卒中患者入院初期血糖变化与预后的关系

目的 探讨急性脑卒中病人入院时血糖水平与预后的关系。方法 分析了285例急性脑卒中病人病后24小时后血糖水平,与入院时病情、预后及死亡率的关系。卒中分三型:脑梗死、腔隙性脑梗死及脑出血,均经CT证实。结果 入院时血糖水平与病后1个月后神经功能改善程度间无相关性(r=0.103,P>0.05),仅对脑出血的病人生存有联系,而入院时病情与预后有相关性(r=0.186,P<0.01)。结论 高血糖可能系急性脑血管病应激性反应的结果。

The Relationship between Admission Blood Sugar Level and Prognosis in Stroke Patients during the Initial Stage

Objective To investigate the relationship between admission blood sugar level and prognosis in acute stroke patients. Methods 285 cases of acute stroke were reviewed with a view of possible correlation of admission blood sugar level to short term prognosis. The plasma glucose concentrations after 24 hours of neurological events were statistically analyzed against the death rate and morbidity on discharge. Three variations of acute stroke were identified with cerebral infarction (96) , lacunar in-farct (97), intracerebral hemorrhage (92) by CT scans and clinical investigation. Results No significant correlation of blood sugar level to neurdogical deficits was showed in cerebral infarction (r = 0. 068> P> 0. 05). The death rate and neurological deficits on discharging were apparently linked to the admission severity of the patients (r = 0. 186, P < 0. 01). Conclusions It seems to be a stress response that hy-perglycemia appears in acute stroke.