脑梗塞患者血糖血脂与糖化血红蛋白的相关性探讨

Correlation between blood glucose and blood lipid and glycosylated hemoglobin in patients with cerebral infarction

目的:分析脑梗塞患者血糖血脂的变化与糖化血红蛋白水平的相关性。方法:选择154例临床首诊为脑梗塞的住院患者,根据首次检测的糖化血红蛋白(HbA1c)水平分为糖化血红蛋白升高组(HbA1c>6.5%)、糖化血红蛋白正常组1(HbA1c 5.0%~6.5%)和糖化血红蛋白正常组2(HbA1c<5.0%)共三组,分别检测这三组血清中血糖(GLU)、甘油三酯(TG)和总胆固醇(TCHO)的水平。结果:糖化血红蛋白升高组中血清血糖、甘油三酯和总胆固醇的阳性检出例数明显高于正常组1和正常组2。结论:脑梗塞患者血糖血脂的变化与糖化血红蛋白的升高有一定程度相关性,可作为疾病诊断和预防的又一辅助指标。

Objective:To analyze the correlation between the changes of blood glucose and blood lipid and thelevel of glycosylated hemoglobin in patients with cerebral infarction.Methods:To select154cases of the hospitalizedpatients with the first clinical diagnosis as cerebral infarction,according to the first detection of glycosylatedhemoglobin(HbA1c)levels were divided into higher glycosylated hemoglobin group(HbA1c>6.5%),glycosylatedhemoglobin normal group1(HbA1c5to6.5%)and glycosylated hemoglobin normal group2(HbA1c<5.0%)atotal of three groups.The levels of blood glucose,triglyceride and total cholesterol in the three groups were detectedrespectively.Results:The levels of blood glucose,triglyceride and total cholesterol in the higher glycosylatedhemoglobin group were significantly higher than those in the normal group.Conclusion:There is a certain degree ofcorrelation between the changes of blood glucose and blood lipid in patients with cerebral infarction and the rise ofglycosylated hemoglobin,which can be used as another auxiliary index for disease diagnosis and prevention.