应激性高血糖对老年急性脑梗死患者早期康复的影响

Influence of Stress Hyperglycemia on Outcomes of Early Rehabilitation in Elderly Patients with Acute Cerebral Infarction

目的探讨应激性高血糖(SHG)对老年急性脑梗死患者早期康复的影响。方法对85例伴有SHG的老年急性脑梗死与71例血糖正常(NBG)的老年急性脑梗死进行临床观察。结果SHG组的神经功能缺损评分明显高于NBG组(P<0.05)。SHG组治疗好转率低于NBG组,而病死率高于NBG组(P<0.05)。老年急性脑梗死伴有SHG的患者较NBG患者病情重,早期康复差,预后不良。结论SHG是影响老年急性脑梗死预后的重要危险因素,血糖是评估老年急性脑梗死患者病情及预后的指标之一,应及时进行血糖监测。

Objective To investigate the influences of stress hyperglycemia （SHG） on the outcomes of early rehabilitation in elderly patients with acute cerebral infarction. Methods A comparative study was carried out in 156 patients with cerebral infarction patients, of whom 85 had SHG and 71 had normal blood glucose （NBG） levels. Results Neurological defect scores were significantly higher in patients with SHG than patients with NBG （P〈0. 05）. The improvement rate was significantly lower and the mortality was significantly higher in SHG group than NBG group （P 〈 0.05）. The results indicated that patients with SHG had more severe clinical symptoms and poor prognostic results. Conclusions SHG is a risk factor that deteriorate rehabilitation outcome in elderly patients with acute cerebral infarction. Dynamically monitoring the blood glucose levels in patients with acute cerebral infarction is an important strategy in predicting prognosis and evaluating patients severity.