高血糖影响缺血性卒中预后的潜在机制与对策

Potential Mechanisms for the Influences of Hyperglycemia on the Prognosis of Ischemic Stroke and Its Solutions

高血糖增加急性缺血性卒中的死亡率和致残率。目前对于急性缺血性卒中高血糖的控制目标仍无共识。本文对缺血性卒中急性期高血糖的发生机制以及其对预后影响的潜在机制进行了综述,并总结和讨论了近期国内外相关协会有关急性卒中高血糖的处理建议和对策。

Hyperglycemia increases morbidity and disability of acute ischemic stroke. There is no consensus on the target for the glycemic control in patients who had hyperglycemia after acute ischemic stroke. This article reviews the occurrence mechanisms of hyperglycemia in acute stroke and the potential mechanisms by which hyperglycemia influences outcomes. We also summarize and discuss the solutions and suggestions on management of hyperglycemia after acute ischemic stroke, which are proposed by relevant associations in China and abroad recently.