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目的就脑卒中患者急性期血糖变化及其临床意义进行探讨。方法选取我院自2008年1月至2011年1月之间所收治的170例急性脑卒中患者作为研究对象,全部患者都在起病24h内入院,均不口服任何影响血糖的药物,然后在空腹状态下对患者的静脉血进行抽取,血糖值应该采用血浆葡萄糖氧化酶法来进行测定。结果 76例出血性卒中组患者中空腹血糖水平为(8.65±2.37),SSS评分为(27.54±19.02);而94例缺血性卒中组患者中空腹血糖水平为(6.38±2.23),SSS评分为(42.95±12.87)。62例正常血糖组患者中空腹血糖水平为(5.52±0.48),SSS评分为(45.96±13.65);108例高血糖组患者中空腹血糖水平为(8.64±2.68),SSS评分为(30.81±17.98)。与非老年组相比,老年组血性卒中组的病情要明显重很多。与老年缺血性卒中组和非老年组相比,老年出血性卒中组的死亡率要明显高的多。结论应该积极检测血糖、有效控制血糖水平,才可以有效地改善急性脑卒中患者的预后,避免患者受到较为严重的脑损害。
Objective To investigate the changes of blood glucose in acute stroke patients and its clinical significance. Methods A total of 170 acute stroke patients admitted to our hospital from January 2008 to January 2011 were enrolled in this study. All patients were admitted to the hospital within 24 hours of onset, and no oral blood glucose was orally administered. The patient’s venous blood was drawn in the fasting state and the blood glucose level should be determined using the plasma glucose oxidase method. Results The fasting blood glucose level was 76.5% ± 2.37% in 76 hemorrhagic stroke patients and 27.54 ± 19.02% in 94 patients with ischemic stroke. The fasting blood glucose level in the 94 ischemic stroke patients was (6.38 ± 2.23), SSS score (42.95 ± 12.87). The fasting blood glucose level was (5.52 ± 0.48) and the SSS score was (45.96 ± 13.65) in 62 patients with normal blood glucose. The fasting blood glucose level in 108 patients with hyperglycemia was (8.64 ± 2.68) and the SSS was (30.81 ± 17.98) ). Compared with the non-elderly group, the older group bloody stroke group was significantly heavier. Mortality was significantly higher in the elderly hemorrhagic stroke group than in the elderly ischemic stroke group and the non-elderly group. Conclusions Positive blood glucose should be detected and blood sugar level should be controlled effectively to improve the prognosis of patients with acute stroke and prevent the patients from suffering from severe brain damage.