自发性脑出血患者血糖水平对血肿扩大及预后的影响分析

Analysis of the effect of blood glucose level on the enlargement of hematoma and prognosis in patients with ICH

目的探讨自发性脑出血患者入院时血糖水平对血肿扩大及预后的影响。方法将75例脑出血患者根据入院时血糖水平分组,比较不同水平组的患者年龄、性别、NIHSS评分、血肿扩大及死亡情况。结果入院时不同血糖水平患者在性别、年龄方面没有统计学差异(P>0.05),但是在NIHSS评分、入院后血肿扩大、预后方面差异均有统计学意义(P<0.05),其中随机血糖>11.1 mmol/L的患者在NIHSS评分、血肿扩大以及预后方面与随机血糖<6.1 mmol/L的患者组比较差异也均有统计学意义(P<0.05)。结论自发性脑出血患者入院时血糖与病情及预后可能存在关联。

Objective To investigate the effect of blood glucose level on the enlargement of hematoma and the prognosis of patients with ICH. Methods 75 cases of ICH were grouped according to the blood glucose level at admission, and compared with the age, sex, NIHSS score, hematoma enlargement and death of patients in different groups. Results Patients with different blood glucose levels in the gender and age had no significant difference （P〉0.05）, but in the NIHSS score after admission and hematoma enlargement, the prognosis of the differences were statistically significant （P〈0.05）.Conclusion The blood glucose level of patients with ICH at admission is associated with patient＇s condition and prognosis, for patients with high glucose level, clinical attention should be paid to.