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高血糖对急性脑卒中预后的影响 被引量:63

Prognostic significance of hyperglycemia in acute stroke
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摘要 163例急性脑卒中患者分为三组:糖尿病组24例,非糖尿病高血糖组43例和非糖尿病正常血糖组96例。按照卒中病人临床神经功能缺损程度评分法和缺血性脑卒中CT扫描病灶范围评分法,对照分析了卒中后高血糖症与临床表现及脑缺血性损害程度与短期预后的关系。结果表明,急性脑卒中后高血糖不仅临床表现病情重(P<0.01)和脑缺血性损害范围大(P<0.05),而且对卒中短期预后也有不良的影响。 Correlation between neurological deficits and prognostic significance of fasting blood glucose were evaluated in 163 patients with acute stroke. Based on the fasting blood glucose levels, patients were divided into three groups:diabetes mellitus group 24 cases, nondiabetic hyperglycemic group 43 cases, and nondiabetic normoglycemic group 96 cases. The fasting blood glucose levels after stroke onset were significantly higher in the first and second groups than in the third (P<0. 01). The relationship between the neurological deficit scores and the size of lesions on brain CT scans of the ischemic stroke were compared. Results revealed that stress hyperglycemia in cases with acute stroke resulted in not only more serious clinical neurological deficits (P<0. 01 ) and larger ischemic lesions (P<0. 05), but also worse prognosis in the short-term.
作者 秦斌 王新德
机构地区 北京医院脑系科
出处 《临床神经病学杂志》 CAS 1994年第1期31-33,共3页 Journal of Clinical Neurology
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参考文献1

  • 1对脑卒中临床研究工作的建议[J]临床荟萃,1988(08).

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