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目的 :探讨急性自发性脑出血患者的病情与血糖变化及预后的关系。方法 :测定患者入院后第一天清晨空腹血糖浓度 ,以Glasgow comascale评分将患者分为轻型、中型、重型组 ,组间病情轻重构成比及病死率差异采用 χ2 检验。结果 :重型脑出血患者的血糖明显高于中型、轻型脑出血患者 (P均 <0 0 1) ;死亡组的血糖明显高于存活组 (P <0 0 1)。结论 :脑出血患者血糖增高与病变严重程度及预后密切相关 ,血糖增高可反映病情严重及预后不良。
Objective: To investigate the relationship between the condition of patients with acute cerebral hemorrhage and the changes of blood glucose and prognosis. Methods: The fasting blood glucose level was measured on the first day after admission. The patients were divided into light, medium and heavy groups according to Glasgow comascale score. Results: The blood glucose in patients with severe intracerebral hemorrhage was significantly higher than that in patients with moderate and mild intracerebral hemorrhage (all P <0.01). The blood glucose in the deceased group was significantly higher than that in the surviving group (P <0.01). Conclusion: The increase of blood glucose in patients with intracerebral hemorrhage is closely related to the severity and prognosis of the disease. High blood sugar may reflect the serious condition and poor prognosis.