應激性高血糖對急性腦梗死患者臨床預后的影響分析

林丹

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【摘要】  目的 探討應激性高血糖對急性腦梗死患者臨床預后影響。方法 選擇應激性高血糖患者42例，為觀(guān)察組，同時(shí)選擇正常血糖腦梗死患者40例，為對照組。對兩組患者入院時(shí)神經(jīng)功能缺損狀況進(jìn)行評分；觀(guān)察兩組患者發(fā)病4周后臨床轉歸；記錄兩組患者發(fā)病4周后臨床事件發(fā)生。

【關(guān)鍵字】  應激性高血糖,急性腦梗死,臨床預后

中圖分類(lèi)號：R743.3文獻標識碼：B文章編號：1671-8194（2011）01-0023-02

Effect of Stress Hyperglycemia on the Prognosis of Acute Cerebral Infarction

LIN Dan

First Affiliated Hospital, Shantou University Medical College, Shantou 51041, China

[Abstract] Objective To explore the effect of stress hyperglycemia on the prognosis of acute cerebral infarction. Methods 42 cases with acute cerebral infarction who had stress hyperglycemia were selected as observation group, and 40 cases with acute infarction who had normal blood glucose were selected as control group. Neurologic impairment score in two groups were evaluated while admission；the outcome was observed after 4 weeks of onset in two groups; clinical events were recorded after 4 weeks of onset in two groups. Results Neurologic impairment score in observation group compare with that in control group while admission, there was statistical difference（P<0.05）; the total rate of clinical in observation group comp compared with that in control group, there was statistical difference（P<0.05）; The incidence of clinical events in observation group compared with that in control group, there was statistical difference（P<0.05）.Conclusions Stress hyperglycemia can increase the incidence of clinical events in acute cerebral infarction, and effects the outcome.