脑梗塞患者血糖增高与内分泌紊乱的关系

The Relationship of Hyperglycemia and Endocrine Disorder during Ischemic Stroke

作者动态地测定32例脑梗塞患者和30例对照者血糖、ACTH、皮质醇、胰高血糖素和C—肽的含量。方差分析结果表明,病人组比对照组血糖、皮质醇、C—肽明显增高(P<0.01),ACTH、胰高血糖素明显降低(P<0.01)。回归分析结果表明,作为血糖调节的主要因素。脑梗塞患者的皮质醇取代了正常人的胰岛素。本文讨论了脑梗塞时血糖增高的内分泌机理及其对病情的影响,为脑梗塞的临床治疗提供了重要的理论依据。

The level of blood sugar.cortical,ACTH,glucogon and C—peptide were determined in 32 cases of ischemic stroke and 30 cases of control group.The analyisis of variance demonstrated that blood sugar,cortical and C—peptide were higher,while ACTH and glucogou were lower in ischemic group than in control group.The analyisis of regression demons trated,a(?)a major factor for regulating blood sugar,that the cortisol replace the insulin after cerebral ischemia.This study had discussed the endocrine machanism of hypergly Cemia and its effect on cereb(?)al ischemia.We have provided the theoretical proof for the clinical treatment of ischemic stroke.