社区患者血糖水平与卒中严重程度及预后的关系

Relationship between Blood Glucose Level of Community Patient and Stroke Severity and Prognosis

目的探讨社区2型糖尿病合并卒中患者病情及转归与血糖(Glucose,Glu)水平关系。方法收集社区120例2型糖尿病合并卒中患者,根据入院时血糖水平分为3组:7.8mmol/L≤Glu≤11.1mmol/L组41例,11.1mmol/L<Glu≤16.7mmol/L组34例,Glu>16.7mmol/L组45例,观察分析患者血糖水平与病情轻重程度及预后的关系。结果11.1mmol/L<Glu≤16.7mmol/L组与7.8mmol/L≤Glu≤11.1mmol/L组患者相比,病情无明显加重(P=0.023),预后无明显差异(P=0.316)。Glu>16.7mmol/L组较11.1mmol/L<Glu≤16.7mmol/L组相比,病情明显加重(P<0.01),预后无明显差异(P<0.01)。结论社区糖尿病合并卒中患者,血糖水平严重升高者,患者的病情严重,预后差。加强血糖控制有可能改善患者的预后。

Objective To explore the relationship between blood glucose level and both condition and prognosis of the community type 2 diabetes mellitus patients complicated with stroke. Methods One hundred and twenty community patients suffered from type 2 diabetes mellitus complicated with stroke were enrolled and divided into 3 groups according to their blood glucose level, Relationship between patients＇ blood glucose level and both condition and prognosis were observed and analyzed. Results Compared to patients in group 7.8≤Glu≤11.1, patients in group 11.1〈Glu〈16.7 showed no significant deterioration（P=0.023）, and no difference in prognosis（P=0.316）. Patients in group Glu〉16.7 showed deterioration significantly than the patients in group 11.1〈Glu≤16.7, but no difference in prognosis（P〈0.001）. Conclusion Type 2 diabetes mellitus patients complicated with stroke in community who had a severely elevated blood glucose level would have a serious condition and poor prognosis. Prognosis may be improved if blood glucose level administration was enhanced.