急性脑血管病患者早期血糖变化的临床意义

目的观察急性脑血管病患者血糖的变化特点及其临床意义。方法167例急性脑血管病患者分为脑梗塞组和脑出血组，根据病情分为意识障碍组和无意识障碍组，在发病48h之内检测空腹血糖。结果急性脑血管病患者发病时出现应激性血糖增高，意识障碍患者血糖高于无意识障碍患者。结论急性脑血管病患者血糖明显增高，检测其血糖变化可以反映疾病的严重程度和预后。

Objective To observe the feature and mechanism of blood glucose of acute cerebral vascular disease （ACVD）. Methods Blood glucose of 167 patients was investigated within 48 h after ACVD onset. The patients were divided into deferent groups： cerebral infarction group and intracerebral hemorrhage group, consciousness disturbance group and consciousness group. Results The blood glucose was changed in ACVD because of the stress. There is statistical change in blood glucose between consciousness group and consciousness disturbance group （P〈0.05）. Conclusions The blood glucose was great increased in ACVD. And the blood glucose could be useful to determine the severity and prognosis of CVD.