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目的总结脑出血患者急性期糖代谢异常的意义,并观察其对近期预后指标产生的影响。方法选取脑出血患者129例作为观察对象,对患者的资料进行回顾性分析,并进行急性期糖代谢指标检查,主要包括血糖、血清胰岛素、糖化血红蛋白,观察患者糖代谢异常情况,与糖代谢异常的标准进行对比。结果在所有患者中共有51例患者在急性期出现糖代谢异常,所占比例为39.53%,78例患者未出现急性期糖代谢异常,所占比例为60.47%,51例患者为糖代谢异常组,78例患者为对照组。糖代谢异常组的格拉斯哥昏迷评分、神经功能缺损评分、多器官功能不全评分和日常生活活动能力评分与对照组比较均显著降低,且合并症及住院天数均明显多于对照组,组间差异具有显著性(P均<0.05~0.01)。结论脑出血患者在急性期出现糖代谢异常后将对临床表现及近期预后指标产生影响,可作为反映病情的直观指标之一。
Objective To summarize the significance of abnormal glucose metabolism in patients with acute cerebral hemorrhage and to observe its effect on recent prognosis. Methods A total of 129 patients with intracerebral hemorrhage were selected as observation objects. The data of patients were retrospectively analyzed. The indexes of glucose metabolism in acute phase were examined, including blood glucose, serum insulin and glycosylated hemoglobin. The abnormal glucose metabolism, Standard comparison. Results A total of 51 patients had abnormal glucose metabolism during the acute phase, accounting for 39.53% of all patients. 78 patients had no acute glucose metabolism, accounting for 60.47%, 51 patients had abnormal glucose metabolism , 78 patients as control group. Glasgow coma score, neurological deficit score, multiple organ dysfunction score and activities of daily living in patients with abnormal glucose metabolism were significantly decreased compared with the control group, and the complications and hospitalization days were significantly more than the control group, with differences between groups Significant (P <0.05 ~ 0.01). Conclusions The patients with ICH will have an impact on the clinical manifestations and short-term prognosis after the abnormal glucose metabolism in acute stage, which may be used as one of the visual indicators to reflect the disease.