54例急性脑梗塞后高血糖临床分析

The bpyerlycemk resulted from the acute brain infarctions clinical analysis of fifty-four cases

54例无糖尿病史急性脑梗塞(ABI)后高血糖患者(A组),与42例有糖尿病史的ABI(B组)及40例非糖尿病ABI后无血糖增高患者(C组)作对照观察。发病时血糖平均值:A组(?)±s=11.764±3.51,B组(?)±s=16.89±7.18。A组<B组,两组t值=4.46,P值<0.01。血液流变学除血沉方程K值外,A,B二组无显著差异意义。A组,B组与C组比较,前二者改变高于后者。其它主要指标P值<0.05或0.01。死亡率A组为44.44%,B组为23.81%,C组为5%,探讨ABI后高血糖及血液流变学的关系,认为应激反应是老年ABI预后不良的标志,血粘度与血糖增高呈相关性。提出应激性血糖增高,还可能与老年多脏器功能减退,尤其胰岛功能减退有关。

Fifty-four cases (group A) have been examined in this paper,these patients suffered fromthe hyperglycemia resulted from the acute brain infarction (ABI),but they are not diabetics. Two other groups (B. C) were chosen as controls:forty-two patients with ABI who are also diabetics are in groups B; forty patients with ABI who do not suffer from hyperglycemia and diabete are in hyperglycemia and diabete are in group C.The blood-sugar concentration are as follows:A:x±s=11.7633. 51;B:x±s=16. 89±7. 18.The blood-sugar concentration of group Aare lower than that of group B(t = 4. 46,P<0. 01). Apart from the K ofthe blood sedimentation equtation. Group A and B have no significant difference in hemodynamics. The K changes of group A and B are larger than that of group C (P<0. 05 or 0. 01). The death rates of the three groups are 44. 44%(A), 23. 81 (B) and 5%(C). Analysing the relationship between hyperglycemia resulted from ABI and hemodynamics, we concluded that the test response is the indication of the unfavourable prognosis in the elder patients with ABI, futhermore, the blood viscosity are positively correlated with the increasing of the blood-sugar concentration. It is concluded that the stress increasing of the blood-sugar concentration is also correlated with the insuficience of various organs especially the hypoinsulinism.