应激性高血糖对急性脑梗死患者临床预后的影响分析

Effect of stress hyperglycemia on the prognosis of acute cerebral infarction

目的探讨应激性高血糖对急性脑梗死患者临床预后的影响。方法对本院60例伴有应激性高血糖的脑梗死患者(观察组)和60例正常血糖的脑梗死患者(对照组)进行临床研究,比较2组患者入院时神经功能缺损状况、脑梗死面积、预后情况、并发症等。结果与对照组比较,观察组患者神经功能缺损评分显著增加,脑梗死面积大、预后效果差,病死率高(P<0.05)。结论应激性高血糖是影响脑梗死患者的重要因素,血糖对于脑梗死患者的病情判断,估计预后有较大意义。

Objective To explore the effect of stress hyperglycemia on the prognosis of acute cerebral infarction. Methods 60 patients with cerebral infarction accompanied with stress hyperglycemia （observation group） and 60 patients with cerebral nfarction accompanied with normal blood glucose （control group） in our hospital were researched.The neurological deficits , cerebral infarction area ,prognosis ,complications and other indicators were compared between two groups.Results Compared with the control group ,the neural functional defect score of the observation group increased significantly ,the cerebral infarction of the observation group was larger ,the prognosis of the observation group was poorer and the fatality rate of the observation group was higher（P〈 0.05）.Conclusion The stress hyperglycemia is an important factor of patients with cerebral infarction , the blood glucose for patients with cerebral infarction has greater significance on its severity and prognosis.