36例脑卒中血糖变化临床观察

Clinical Observation on Change of Blood Glucose in 36 Cases with Stroke

目的:观察脑卒中后血糖变化。方法:对有血糖变化的患者进行动态观察,第一周每天测空腹血糖一次,第二周每周测空腹血糖三次,以后每周两次。结果:观察的77例中发现血糖变化者36例(46.7%),均在发病后2-4天血糖开始升高,第二周末第三周初开始下降,四周后血糖恢复正常者26例占总数72.2%,血糖下降但未恢复正常者6例(16.6%),血糖下降不明显者4例(11.1%)。结论:脑卒中早期血糖升高不能轻易诊断糖尿病,大部分患者可于2-4周内血糖恢复正常。

Objective： To observe the change of blood glucose in stroke patients. Method： The patients with blood glucose change were dynamically observed. Patients were measured fasting blood glucose for one time in the first week and three times in the second week, and then they were measured two times in the following weeks. Result： In 77 cases, blood glucose change were found in 36 cases （46.7 %）, their blood glucose were increased in 2--4d of the onset of stroke. It was decreased in the end of the second week and the beginning of the third week. 26 cases （72.2%） returned to normal in the fourth week, 6 cases （16.6%） blood glucose were decreased but didn＇t reach the normal level, 4 cases （11.1%） did not decrease significantly. Conclusion： It is not reliable to make a diagnosis of diabetes for early increased blood sugar. Most patients＇ blood glucose can return to normal in 2--4 weeks.