急性颅脑危重患者血糖变化与病情预后的关系

The relationship between the change of blood sugar and prognosis in acute critical craniocerebral patients

目的探讨颅脑危重患者血糖变化与病情预后关系。方法检测100例急性颅脑危重患者血糖水平变化，并对60例血糖变化患者和40例血糖正常组患者病情、预后进行分析。结果血糖变化组为病情严重患者，病死率明显高于正常血糖组（P〈0．01）。血糖升高水平与病情呈正相关。结论血糖升高反映出颅脑危重症患者脑组织损伤严重性。并对判断病情、预后及指导治疗有重要意义。

Objective To investigate the relationship between the change of blood sugar and prognosis in acute critical craniocerebral patients. Methods The concentration of blood glucose in 100 acute critical craniocerebral cases was detected. The change of blood glucose level and the relationship of degree of illness and prognosis were analysed. Results The level of blood sugar increased in 60 cases, they were severely ill and the mortality went up drastically ,the increase of glucose level in blood was proportional to the height of mortality （P 〈0.01）. Conclusion When the blood sugar level increases, it can mirror that craniocerebral damage of cases is very severe, so the change of blood glucose can help to judge the degree of illness, prognosis and .curative effect.