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目的了解急性脑卒中患者应激性血糖升高的反应程度及与预后的关系。方法对１６０例急性脑卒中患者进行了血糖及糖皮质激素的检测。并按年龄分为非老年组１９例（其中缺血性卒中１１例，出血性卒中８例）；老年组１４１例（其中缺血性卒中５９例，出血性卒中８２例）。结果老年出血性卒中组空腹血糖明显高于非老年组（Ｐ＜０．０１）；糖皮质激素亦为老年出血性卒中组最高，两组相比Ｐ＜０．０１。从病情程度比较：老年出血性卒中组病情重，死亡率高（Ｐ＜０．０１）。结论脑卒中后应激反应越重，预后越差。因此，我们认为对急性脑卒中患者及时检测血糖及糖皮质激素，有利于病情的诊治及预后的估计。
Objective To investigate the relationship between the response to stress-induced hyperglycemia and prognosis in patients with acute stroke. Methods Blood glucose and glucocorticoid were measured in 160 acute stroke patients. They were divided into non-elderly group according to age, 19 cases (11 cases of ischemic stroke and 8 cases of hemorrhagic stroke); 141 cases of elderly group (including 59 cases of ischemic stroke and 82 cases of hemorrhagic stroke). Results The fasting blood glucose of elderly hemorrhagic stroke group was significantly higher than that of non-elderly group (P <0.01). Glucocorticoid was also the highest in elderly hemorrhagic stroke group, P <0.01. From the severity of the disease: elderly hemorrhagic stroke group of heavy illness and high mortality (P <0.01). Conclusions The more stress response after stroke, the worse the prognosis. Therefore, we believe that the timely detection of blood glucose and glucocorticoid in patients with acute stroke is conducive to the diagnosis and treatment of disease and prognosis.