脑梗塞早期空腹血糖水平与预后关系研究.docVIP

脑梗塞早期空腹血糖水平与预后关系研究 　　摘要：目的 探讨脑梗死患者早期血糖水平对病情及早期预后的影响。方法 选取2010年5月~2012年1月来我院接受脑梗死治疗的患者108例，依据患者空腹血糖的高低分为高血糖组和血糖正常组，比较两组患者的病灶部位、神经功能缺损程度及预后效果，并使用SPSS 13.0软件包对比较结果进行统计学分析。结果 两组患者的病灶部位分布差异无统计学意义，P0.05；高血糖组患者的神经功能缺损程度明显严重于血糖正常组，P0.05；高血糖组患者的治疗效果明显差于对照组患者，P0.05。结论 高血糖可能加剧脑梗死患者的临床症状，因此脑梗死患者在进行治疗过程中应将血糖升高作为独立危险因素，临床治疗过程中应当予以注意。 　　关键词：脑梗死；血糖水平；病情；预后 　　Study on the Relationship between the Early Fasting Blood Glucose Levels and Prognosis of Cerebral Infarction 　　HE Hong-mei 　　(The Second Peoples Hospital of Changde City,Changde 415004,Hunan,China) 　　Abstract：ObjectiveTo explore the effect of early blood glucose level on the disease and early prognosis in patients with cerebral infarction. MethodsIn 108 patients from 2010 May to 2012 January for the treatment of cerebral infarction in our hospital accepted, on the basis of fasting blood glucose level is divided into the high blood glucose group and normal blood glucose group, compared two groups of patients with lesions, the effect of the degree of neural function defect and prognosis, and use the SPSS 13 software package was used for statistical analysis of the results. Results The lesions of patients in two groups had no significant difference in the distribution, P＞0.05; neural function defect degree high blood glucose group were obviously more serious than the normal blood glucose group,P0.05; high glucose treatment effect significantly worse than patients in the control group, P0.05. ConclusionHyperglycemia may aggravate the symptoms of patients with cerebral infarction in patients with cerebral infarction, so in the process of treatment should be elevated blood glucose as the independent risk factors, should be paid attention to in the process of clinical treatment. 　　Key words：Cerebral infarction; Blood glucose level; Disease; Prognosis近些年来随着我国人口结构老龄化加快，老龄疾病已成为临床工作中的重点。脑梗死是老年人中常见的一种心脑血管疾病，该病具有发病较急、致死率、致残率高的特点[1]，已成为严重威胁人类健康的一种临床疾病，临床研究发现，近年来该病已成为继恶性肿瘤之后第二大致死因素，因此如何有效的预防和治疗具有重要意义。临床研究发现，高血糖是影响脑梗死患者预后效果的高危因素，为了进一步