脑卒中患者急性期血糖水平与病情严重程度的关系

The relation between the blood glucose level and the state of severity in patients with stroke at acute stage

目的探讨脑卒中患者急性期血糖水平与病情严重程度的关系。方法采用前瞻性队列研究的方法检测2005-02～2008-02所有入院病程<24h的340例脑卒中患者(其中出血性卒中153例,缺血性卒中187例)的空腹血糖水平。采用斯勘的纳维亚卒中评分(SSS)量表评价患者入院时神经功能缺损程度。按卒中类型和空腹血糖水平分组,比较各组间指标差异。结果出血性卒中组空腹血糖水平及SSS评分高于缺血性卒中组(P<0.05);血糖升高组SSS评分高于正常血糖组(P<0.01)。结论急性脑卒中患者血糖越高,病情越重,其中出血性卒中更显著。对急性脑卒中患者检测血糖有利于病情的判断。

Objective To explore the relation between the blood glucose level and the state of severity in patients with stroke at acute stage. Methods Three hundred and forty stroke inpatients （onset less 24h）,including 153 hemorrhagic stroke and 187 ischemic stroke, were detected of the fasting plasma glucose level from February 2005 to February 2008 by prospective cohort study. The stroke severity on admission was assessed using Scandinavian stroke scale （SSS）. The patients were grouped by two means of stroke type and fasting plasma glucose and the interclass index variabilities were analyzed. Results The plasma glucose level and SSS score of hemorrhagic stroke patients were higher than those of ischemic stroke patients （P〈0.05）. The SSS score of hyperglycemia group was higher than that of normal group. Conclusion The higher of the blood glucose,the severity of the patients＇ state,especially for hemorrhagic stroke. Detecting plasma glucose of stroke patients is good for assessment of the state of severity.