血糖水平对急性脑出血病人预后的影响

THE INFLUENCE OF BLOOD SUGAR ON THE PROGNOSIS OF PATIENTS WITH ACUTE CEREBRAL HEMORRHAGE

①目的 探讨血糖水平对急性脑出血病人预后的影响。②方法 回顾性分析了我院 1999年 7月～2 0 0 1年 7月收治的 130例急性脑出血病人 (38例伴糖尿病 ) ,观察血糖水平与脑出血量、出血部位及预后的关系。③结果 糖尿病病人较非糖尿病病人出血量多 (χ2 =10 .2 5 8,P <0 .0 1) ,预后差 (H =36 .13,P <0 .0 1)。糖尿病及非糖尿病病人出血部位均以基底核区及脑叶区为主 ,但糖尿病病人脑干出血比例明显多于非糖尿病病人 (χ2 =10 .377,P <0 .0 5 )。糖尿病病人中血糖 >9.6mmol/L者出血量及病死率明显增高 (χ2 =6 .345、4 .975 ,P <0 .0 5 )。④结论 急性脑出血病人血糖高者预示急性期预后不良。

ObjectiveTo investigate the influence of blood-sugar level on the prognosis of patients with acute cerebral hemorrhage(ACH).MethodsOne hundred and thirty patients with ACH admitted from July, 1999 to July, 2001 were analyzed retrospectively. Thirty-eight of them accompanied with diabetes mellitus. The relation between the level of blood sugar, the amount and location of bleeding , and the prognosis was observed. ResultsThe amount of bleeding in diabetic patients was more than that in non-diabetic patients (χ2=10.258, P<0.01), the prognosis was poor (H = 36.13, P<0.01).Basal ganglia and lobe of brain were the main locations of bleeding both in diabetic and non-diabetic patients, but the brain-stem hemorrhage was most commonly seen in diabetic patients(χ2=10.377, P<0.05). The amount of bleeding and mortality markedly increased in diabetic patients with blood sugar >9.6 mmol/L (χ2=6.345 ,4.975, P<0.05). ConclusionThe elevation of blood sugar in patients with ACH indicates poor prognosis in its acute phase. [