脑卒中患者入院初期血糖变化与预后的关系.pdfVIP

• 105 • 赞绞孩瘦立搜11卫f且投也_[第1 我爱21盟 ·学术史流· 脑卒中患者人院初期血糖变化与预盾的关系 正{!t ~户华革旧沈 E摘要】 罔的 探讨患怯脑卒中病人入院时...糖水-tJ号预后的 .u在.方法 分析了 285 倒患，性脑 4中病人病居 24 小时后血精华平，均A院时病情、领政.!t死亡华的县革。 4 中企i型:脑槌乱、且盘隙性 脑梗死在脑出血，均经 CTi成事。铺巢 入院时血糖水平与病盾 1 小月后神经功能i!t品稳/V司无相提 憔(r~O. 103. P O. (5). 仅对脑出冉的病人生冉有联单、而入院时病情马预后带柏县悦归胃口. 1 肘， P 0. (11)。销论 高...糖可能革.t性脑血管病/!I.激性反应的给果园 E关键诩】 息性脑阜中 血糖水平 且激且应 神挫功能也是损 Th.l是elationshlp betwèèn Adnds~ìlon Blood Sugar Level and Pro酬酣1. 10 Stroke ptI..ts during Ih. 10111.1 S阳ge Wang Zhe.ιi Huaju饨 t Tian Shen. (Ðeparto1ent of Neuromedicine , the First Affiliated Hos pital 10 Dalian Medical UniversityψDalian !l60 11) [Abstract] Objective To investigate the relationship between admission blood sugar level and prognosìs in acute 1i troke patien阳 Melhod. 2 日5 cases of acute stroke were revicwed with a view of pos 创ble cοrrd时ion of admission blood sugar level to 础。rt term prognosis. The pl ll sma glucose concentra- tíons after 24 hOUTS of neurologïcal even阳 were statistìcally 削lalyzed against the death rate and morbìdity on discharge. Three variatìons of acute stroke were identified wÎth cerebral infarctÎon (96). lacunar in farct (9 7). intracerebral hemorrhage (92) by CT scans and clinieal investigation. R回ults No sìgnificant correlation of blood sugar level to neurdogical deficits 、Nas showed in cerebral infarction (r 0.06日 ， p 0.0日. The cl巳ath rate ancl neutOlogkal defici.ts on dωcharging wete apparently Hnked to the admlssiòn severity of the patients (r = 0.186 , P 0 , 01). Conc)psÎoQS It seems to be a stress response that hy perglycemia appears in acute stroke. [Key words] Acule stroke Blood sugar level Stress response Neutdogìcal deficìts 中图分