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目的:探讨脑出血急性期应激性血糖升高与患者病情程度及预后的关系。方法:根据入院次日晨空腹血糖检测结果将256例急性脑出血患者分为血糖升高组(86例)和血糖正常组(170例),对2组患者神经功能缺损评分、并发症、病死率进行比较。结果:血糖升高组神经功能缺损程度、并发症发生率、病死率均较血糖正常组高,差异有统计学意义(P<0.05)。结论:脑出血急性期应激性血糖升高患者神经功能缺损重,并发症多,病死率高,应加强血糖监测,积极控制血糖水平,提高治疗效果。
Objective: To investigate the relationship between the severity of stress and the prognosis of patients with acute cerebral hemorrhage. Methods: 256 patients with acute cerebral hemorrhage were divided into hyperglycemic group (86 cases) and normal blood glucose group (170 cases) according to the results of fasting blood glucose test on the next morning of admission. The neurological deficit scores, complications, and death Rate for comparison. Results: The degree of neurological deficit, complication rate and mortality in hyperglycemic group were significantly higher than those in normal glucose group (P <0.05). Conclusion: The patients with acute cerebral hemorrhage have severe neurological deficits, multiple complications and high mortality rate. Therefore, blood glucose monitoring should be strengthened to control blood sugar level actively and improve the therapeutic effect.