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我院对65例脑梗塞患者进行血糖测定,并根据CT结果将其分为大梗塞灶与小梗塞灶两组。以探讨血糖与脑梗塞面积大小的关系及测定血糖的临床意义。 1 材料与方法 1.1 研究对象:65例经CT确诊为脑梗塞的住院患者,男34例,女31例,年龄49—82岁,平均63.7岁,其中糖尿病患者12名。根据CT结果将梗塞灶最大直径≤2cm定为小梗塞灶组,计30名,其中糖尿病患者4名;将梗塞灶最大直径>2cm定为大梗塞灶组,计35名,其中糖尿病患者8名。 1.2 方法:上述病例均于发病24小时内空腹静脉采血。用己糖激酶方法测定血糖(试剂由长征公司提供,使用日立7060全自动生化分析仪进行测定)。结果采用统计学中对期望的双侧检验(t检验)。 2 结果 大梗塞灶组35例病人血糖8.9±4.3mmol·L~-,其中28例高出正常值,占80％。小梗塞灶组血
65 cases of cerebral infarction in our hospital for blood glucose measurement, and according to the CT results will be divided into two groups of large infarction and small infarction. To explore the relationship between blood glucose and cerebral infarction size and the clinical significance of blood glucose. 1 Materials and Methods 1.1 Subjects: 65 patients with cerebral infarction diagnosed by CT inpatients, 34 males and 31 females, aged 49-82 years, an average of 63.7 years, of whom 12 were diabetic patients. According to the results of CT, the maximum diameter of infarction ≤2cm was defined as small infarction group, 30, including 4 diabetic patients; the maximum diameter of infarction> 2cm was defined as large infarction group, 35, including 8 diabetic patients . 1.2 Methods: The above cases were within 24 hours of onset of fasting venous blood. Blood glucose was measured by hexokinase method (reagent provided by Changzheng company, using Hitachi 7060 automatic biochemical analyzer). Results were statistically based on the expected two-sided test (t test). 2 Results Large infarction group 35 patients with blood glucose 8.9 ± 4.3mmol · L ~ -, of which 28 were higher than the normal value, accounting for 80%. Small infarction group blood group