糖尿病史及入院血糖水平与缺血性进展型卒中关系的研究

Study on the relationship between history of diabetes, blood glucose at admission and progressive ischemic stroke

目的探讨缺血性卒中的进展与糖尿病史及入院血糖水平的关系。方法观察缺血性卒中住院患者共427例。根据本课题制定的缺血性进展型卒中标准,确定进展型卒中136例为进展组,非进展型卒中291例为对照组。检测统计入院血糖水平及有无糖尿病史。结果缺血性卒中两组间入院血糖水平差异有极显著统计学意义(P<0.01),有无糖尿病史的两组间差异无统计学意义(P>0.05)。结论缺血性卒中发生以后,应激性的血糖水平增高,是卒中进展的确切预测因子。而糖尿病虽然通过影响血管的器质及功能改变可以导致卒中,但不会导致卒中的进展,所以不是卒中进展的预测因子。

Objective To explore the relationship between history of diabetes, blood glucose at admission and the progress of isehemic stroke. Methods Analyzed 427 cases of hospitalized patients with ischemic stroke based on the diagnostic criteria of progressive stroke, 136 cases of patients belonged to the progress group, while 291 cases of patients belonged to the control group. Recorded the blood glucose at admission and history of diabetes or no. Results There were significant differences between the two groups in blood glucose at admission （P 〈 0.01）, and there was no significant difference between the two groups in having the history of diabetes or no （P 〉 0.05）. Conclusion After the happening of ischemic stroke, irritable increase of blood glucose at admission was the definite predictive factor, and although diabetes can lead to stroke by influencing the vascular change of organ and function, but will not lead to the progress of stroke, so it＇ s not the predictive factor of the progress of stroke.