糖化血红蛋白水平与急性脑梗死临床关系的研究

Acute Patient of Brain Infarct Blood Sugar, Glycosylated Hemoglobin Level and Clinical Research of Rehtion

目的探讨急性脑梗死患者血糖、糖化血红蛋白水平与临床的关系。方法根据152例患者入院时的空腹血糖水平分为正常血糖组、高血糖Ⅰ组、高血糖Ⅱ组和高血糖Ⅲ组，在治疗前、治疗后的第7天、第14天、第21天、第28天，对神经系统缺损进行评分，并观察血糖、糖化血红蛋白、年龄、既往病史积分、并发病积分和临床的关系。结果急性脑梗死患者的血糖水平越高，其并发病和神经系统缺损评分也越高，其临床疗效也越差。结论高血糖尤其伴高糖化血红蛋白会增加急性脑梗死神经系统损伤和并发症。控制糖尿璃可能会提高急性脑梗死的临床疗效，而积极预防和治疗高血糖是预防脑梗死的有力措施之一。

Objective To investigate acute patient of brain infarct blood sugar competenceand clinical relation. Method Empty stomach blood sugar level when admittedding to hospital divide into normal blood sugar group, high blood sugar Ⅰ group, high blood sugar Ⅱ group and high blood sugarⅢgroup, at random according to patient, Before treating, 7d, 14d, 21d, 28d after treating, flawed or damaged to go on and give a mark to nervous system, Observe blood sugar, glycosylated hemoglobin, age, medical history total mark previously, have illness coming on the total mark and clinical relation. Result Acute brain infarct blood sugar level high, their and have illness coming on and flawed or damaged to give a mark either high nervous system of patient, The worse its clinical curative effect is. Conclusion High blood sugars accompany high glycosylated hemoglobin increase acute brain nervous system of infarct damage especially with have illness coming on. Lower candy treatment may improve acute brain clinical curative effect of infarct effectively, Prevent and treat high blood sugar to prevent brain infarct effective measure one of actively.