脑出血患者急性期血糖水平与格拉斯哥昏迷评分和预后的关系

The Relation Between Blood Glucose Level and Glasgow Coma Scale(GCS) and Prognosis in Acute Period's Patients with Cerebral Hemorrhage

目的 :探讨脑出血患者急性期血糖水平与格拉斯哥昏迷评分及预后的相关性。方法 :选择非外伤性急性脑内出血病人并无重要脏器急慢性疾病。无糖尿病史 ,入院前未用过影响血糖的药物。根据GCS评分将本组病例分为三组 ,Ⅰ组 (GCS 3～ 4分 ) 18例 ,Ⅱ组 (GCS 5～ 6分 ) 8例 ,Ⅲ组 (GCS 7～ 12分 ) 10例。在患者出血后 2 4小时以内 ,抽取静脉血 5ml,测定血糖浓度 ,然后进行统计学处理。结果 :GCS评分越低 ,血糖浓度越高 ,血糖浓度越高 ,死亡和致残率越高。结论 :说明脑出血患者的血糖水平与GCS评分及预后有密切关系。

Objective:To explore relativity between blood glucose level and GCS and prognosis in acute period's patients with cerebral hemorrhage.Methods: To select the patient with acute cerebral hemorrhage that wasn't due to injury,who did not have acute and chronic diseases of major viscera, diabetes and haven't taken the drugs that influence the blood glucose level.Divide these patients into three groups according to GCS:Group Ⅰ(GCS3 4)18 cases, GroupⅡ(GCS5 6) 8 cases, Group Ⅲ(GCS7 12)10cases.Within 24 hours after cerebral hemorrhage,take 5ml's vein blood and determine the blood glucose concentration,then carry out analysis according to statistics.Results:The lower GCS, the higher blood glucose concentration; the higher blood glucose consistence, the higher mortality and cripple rate. Conlusion:The blood glucose level of the patients with cerebral hemorrhage has closely related with GCS and prognosis.