急性脑梗死范围、血糖水平与临床预后的关系研究

Blood Sugar Level and Infarct Area Related to Clinical Prognosis of Patients with Acute Cerebral Infarction

目的研究与分析急性脑梗死患者血糖水平与梗死范围以及临床预后之间的关系。方法本文选择了80例急性脑梗死患者进行研究,将这些患者按照血糖水平分成两组,观察组当中的40例患者血糖水平正常,对照组40例患者的血糖水平比较高,患者入院之后的48 h之内对其进行空腹血糖的测定,患者入院5 d之内对其进行头颅MRI或者CT检查对患者脑梗死的范围进行显示,将观察组和对照组患者的梗死范围、病死率以及好转率进行分析和比较。结果对照组与观察组相比其多叶梗死情况的发生率明显比较高,同时临床治疗效果与观察组相比明显较差,对照组患者的病死率比观察组患者高很多。结论急性脑梗死的患者中血糖水平较高以及出现梗死情况的范围较大的其预后也相对较差。

Objective To explore the relationship between blood glucose level,infarct area and the prognosis of patients with acute cerebral infarction（ACI）. Methods Total 80 patients with acute cerebral infarction were enrolled and were divided into two groups with 40 cases in each according to their blood glucose levels. The glucose level of patients in the observation group was normal, and in the control was higher. The fasting blood sugar level of all patients was tested at 48 hours after the admission. The infarct area was scanned by MRI or CT 5 days after the admission. The infarct area,fatality rate and improved rate were compared between the two groups. Results The incidence of multi-infarct in the control group was higher as compared to the observation group. The clinical effect was poor and the mortality rate was higher in the control group as compared to the observation group. Conclusion The ACI patients with a higher level of level or large area of infarction should have a poor prognosis.