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目的探讨高血糖对急性脑梗死患者短期预后的影响。方法将121例急性脑梗死患者按血糖水平分为两组:高血糖组62例,正常血糖组59例。对照分析了两组患者发病后的1d、7d、14d、21d神经功能缺损评分及疗效评定的关系。结果治疗3周后,高血糖组的总有效率52%,正常血糖组92%,两组比较,p<0.01,正常血糖组明显优于高血糖组。结论脑梗死发病后有无高血糖,可作为估计预后的重要参数。
Objective To investigate the effect of hyperglycemia on short-term prognosis in patients with acute cerebral infarction. Methods 121 patients with acute cerebral infarction were divided into two groups according to their blood glucose levels: 62 in hyperglycemia group and 59 in normal glucose group. The relationship between neurological deficit score and curative effect evaluation of two groups of patients at 1, 7, 14 and 21 days after the onset of the disease was analyzed. Results After 3 weeks of treatment, the total effective rate was 52% in hyperglycemia group and 92% in normal blood glucose group, p <0.01 for both groups, the normal blood glucose group was superior to hyperglycemia group. Conclusion The incidence of cerebral infarction with or without hyperglycemia can be used as an important prognostic parameter.