急性期脑卒中伴高血糖患者的病情及预后分析

Condition and Prognosis of Acute Stroke Patients with Hyperglycemia

脑梗死急性期高血糖原因很多，包括糖尿病、应激等，有关早期血糖水平与脑梗死预后己引起国内外学者关注，临床研究己证实高血糖状态可以加重脑梗死急性期的脑损害。本文选择359例急性脑梗死患者的临床资料，通过回顾性分析，旨在探讨不同原因血糖升高对脑梗死急性期的不同影响。

Objective To evaluate the different effects of the non-diabetic hyperglycemia and diabetic hyperglycemia on acute phase of acute cerebral infarction. Methods The patients with hyperglycemia during hospitalization were divided into diabetic hyperglycemia group （A）, non-diabetic hyperglycemia group （B group） and normal glucose group （C） based on the value of blood glucose and glycosylated hemoglobin discharged from hospital 2 weeks later. The patients＇ information of NIHSS, size of infarction, clinical efficacy, the average length of stay were analysed. Results The patients＇ NIHSS, size of infarction, therapeutic effect, average stay were not statistically different between Group A and B. Conclusions Hyperglycemia for different reasons in the acute phase of ischemia have equally effect on patients＇ clinical symptoms and short-term prognosis.