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通过对210例合并有高血糖的急性脑血管病患者进行前瞻性研究,利用糖化血红蛋白(HBAIC),早期鉴别应激性高血糖还是合并有糖尿病。结果表明:脑梗塞组126例,应激性高血糖31例,占24.6%,合并糖尿病95例,占75.4%;脑出血组84例,应激性高血糖62例,占73.8%,合并有糖尿病22例,占26.2%。脑梗塞急性期血糖增高的原因主要是糖尿病,脑出血组以应激性高血糖多见。HBAIC是脑卒中早期鉴别糖尿病和应激性高血糖简便可靠的方法。
In a prospective study of 210 patients with acute cerebrovascular disease complicated with hyperglycemia, glycosylated hemoglobin (HBAIC) was used to identify early stress hyperglycemia or diabetes mellitus. The results showed that 126 cases of cerebral infarction group, 31 cases of stress hyperglycemia, accounting for 24.6%, 95 cases of diabetes mellitus, accounting for 75.4%; 84 cases of cerebral hemorrhage, stress hyperglycemia in 62 cases, accounting for 73.8% 22 cases of diabetes, accounting for 26.2%. Acute phase of cerebral infarction increased blood glucose mainly due to diabetes, cerebral hemorrhage in patients with stress hyperglycemia more common. HBAIC is a simple and reliable method for the early identification of diabetes mellitus and stress hyperglycemia in stroke.