重型颅脑外伤后血糖变化与血压及预后的关系

The relationship beween blood glucose changing and blood pressure,prediction of patients with severe craniocerebral injury

目的:探讨重型颅脑创伤后高血糖与格拉斯哥昏迷评分(GCS)!血压及预后的关系。方法:将63例脑外伤患者分为GCS3～4分组,5～6分组及7～8分组,检测其入院时及5～7d的空腹血糖值、静态血压并作比较。结果:血压与血糖无直线相关关系;3组病人各组间及与正常值之间血糖值有显著性差异(P<0.01);GCS与血糖水平呈显著正相关(P<0.01);血糖值≥10mmol/L,死亡率增高。结论:颅脑损伤后血糖值可作为判断伤情的指标,应重视颅脑损伤患者血糖监测,努力控制高血糖,提高重型颅脑创伤患者的治愈率。

Objective： To research the relation between hyperglycaemia and GCS, blood pressure, prediction of patients with severe craniocerebral injury. Methods： We divided all 63 patients into three groups ,the first was GCS 3-4,the second was GCS 5-6,the third was GCS 7-8,made sure the blood glucose of these groups after all patients going into hospital and their blood pressure when they were quiet after hospitalization 5-7 days; furthermore, compared each other. Results： Blood glucose was not correlated with blood pressure. The difference between the groups were significant （P〈0.01）; GCS had significantly direct correlation with blood glucose （P〈0.01）;blood glucose level≥ 10 mmol/L indicated a high mortality. Conclusion： After craniocerebral injury, the blood glucose is indicatrix of the degree of judging injury. Testing blood glucose must be done for patients with craniocerebral injury. We should try to control high blood glucose, increase the cure rate.