急性脑血管病患者院前血糖水平与病情相关性研究

The relationship between the level of pre hospital blood glucose in patients with acute cerebral vascular disease and disease

目的探讨院前急救接诊时,非糖尿病的急性脑血管病患者即刻血糖水平与病情及预后转归相关性。方法 70例急性脑血管病患者(包括脑梗死和脑出血)按格拉斯哥昏迷评分(GCS)分轻,中,重三组;院前急救接诊时,检测患者即刻血糖水平,按血糖水平分为正常,轻度升高,中度升高,重度升高。研究血糖水平与病情及预后转归相关性。结果急性脑血管病患者即刻血糖水平中度升高和重度升高者,GCS评分越低,病情越严重,较血糖正常和轻度升高组相比,P<0.05;即刻血糖重度升高者与中度升高相比,病情更严重,P<0.05。即刻血糖中度升高和重度升高组死亡率高,转归差,与血糖轻度升高组和正常组相比,P<0.05;即刻血糖重度升高组死亡率较中度升高组高,P<0.05,差异有统计学意义。结论急性脑血管病患者即刻血糖水平与病情及预后转归相关,检测即刻血糖可作为评估患者病情和预后转归的参考指标之一。

Objective： To observe,when going on the reception of pre hospital emergency time,the correlation between the instant biood glucose level of the non diabetes acute cerebrovascular disease patients and their state and prognosis of illness. Methods： 70 patients with acute cerebrovascular disease（ including cerebral infarction and cerebral hemorrhage）were divided into three group,mild,moderate and severe by Glasgow coma score（ GCS）; At the reception of pre hospital emergency time,the instant biood glucoses were checked,the patients were divided into four groups： nomal,mild,moderate and severe by the instant biood glucoses level. Reserached the correlation between the instant biood glucose level and the state and prognosis of illness. Result： In the moderate and severe instant biood glucoses level of the acute cerebrovascular disease patients,the GCS was lower,the state was more servious,comparing to the normal and mild instant biood glucoses level＇s,P 〈0. 05; comparing the severe instant biood glucoses level＇s to the moderate instant blood glucoses level＇s,the state was more servious,P〈 0. 05. In the moderate and severe instant biood glucoses level patients,there were higher mortality,poorer prognosis,comparing to the normal and mild instant biood glucoses level＇s,P 〈0. 05; The mortality of the severe instant biood glucoses level patients were higher than that of the moderate instant biood glucoses level patients,P 〈0. 05,the difference was statistically significant. Conclusion： The instant biood glucose level of the acute cerebrovascular disease patients was correlate with the state and prognosis of illness. Checking the instant biood glucose can be used as one of the evaluation reference indicators of the state and prognosis of illness.