血清果糖胺和血糖检测对急性脑出血高血糖原因判定探讨.docVIP

血清果糖胺和血糖检测对急性脑出血高血糖原因判定探讨 　　[摘要] 目的 研究分析血糖检测与血清果糖胺对急性脑出血高血糖原因的判定情况。 方法 择取2014年10月―2015年10月期间在该院进行诊治的90例急性脑出血患者，根据是否合并糖尿病分为糖尿病性高血糖组（43例）与非糖尿病性高血糖组（47组），同时通过临床流行病学诊断性试验对两组患者高血糖的原因进行判定。 结果 糖尿病性高血糖组患者的敏感性、特异性、准确性以及阳性似然比均明显高于非糖尿病性高血糖组，差异有统计学意义（Plt;0.05）。 结论 血糖检测与血清果糖胺综合分析是鉴别急性脑出血高血糖原因的可信指标，对临床指导治疗及评估预后具有非常重要的意义。 　　[关键词] 血清果糖胺;血糖检测;急性脑出血;高血糖;原因 　　[中图分类号] R542 [文献标识码] A [文章编号] 1672-4062（2016）01（a）-0096-03 　　Determination of the Cause of Hyperglycemia in Acute Cerebral Hemorrhage by Detecting the Serum Levels of Fructose and Glucose 　　LIU Xin 　　Taiping Peoples Hospital of Daowai District，Harbin，Heilongjiang Province，150050 China 　　[Abstract] Objective To study the determination of blood glucose and fructosamine in serum of high blood glucose causes the decision situation. Methods Chooses October 2014 to October 2015 period in our hospital for diagnosis and treatment of 90 cases of acute cerebral hemorrhage in acute cerebral hemorrhage， according to whether they were complicated with diabetes mellitus were divided into diabetic hyperglycemia group （43 cases） and non diabetes， high blood glucose group （47）， also through the clinical epidemiology diagnosis test on the two groups of patients with high blood glucose causes were determined. Results The sensitivity， specificity， accuracy and positive likelihood ratio of the patients with diabetic hyperglycemia were significantly higher than those in non diabetic hyperglycemia group， and the difference was statistically significant. Conclusion A comprehensive analysis of the determination of blood glucose and serum fructosamine is was a reliable indicator of high blood glucose causes the differential diagnosis of acute cerebral hemorrhage and to guide clinical treatment and assessment of prognosis is very important Meaning. 　　[Key words] Serum fructose amine;Pyroelectric detector;Acute cerebral hemorrhage;Hyperglycaemia;Reason 　　在实际临床工作中，急性脑出血患者常表现为血糖含量增高[1]，其原因可能是合并糖尿病，机体血糖控制不理想或未控制，并存在应激反应;也可能是由于急性脑出血的