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脑出血急性期血糖增高的临床与预后分析 被引量:1

The Clinical and Prognostic Analysis of Hyperglycemia in Acute Stage of Cerebral Hemorrhage
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摘要 目的探讨脑出血急性期血糖增高对患者病情及预后的影响。方法患者入院时按GCS分重型组、中型组与轻型组,出院时按GOS分死亡或植物生存组、残疾组与良好组,分别测定血糖,将其测定值进行对比分析。结果脑出血急性期血糖越高,入院时病情越重。GCS评分越低。同时出院时GOS分级越低,预后越差。结论脑出血急性期血糖水平对判断病情、估计预后及指导治疗有重要意义。 Objective To explore the acute stage of cerebral hemorrhage patients with hyperglycemia on the severity and prognosis. Methods The patients were divided into severe group(GCS 3-8),median group(GCS 9-12) and slight group (GCS 13-15);The prognosis were divided into dead or vegetative being(GOS 1-2),disability group (GOS 3-4)and well recovered group(GOS 5).Blood glucose was measured on admission, the results were compared. Results The acute stage of cerebral hemorrhage blood sugar is high, the illness is more serious at the time of admission. The lower the score GCS. At the same time the discharge GOS grade is lower, the worse the prognosis. Conclusion The acute stage of cerebral hemorrhage, blood glucose level in estimating prognosis and guiding treatment has the vital significance.
出处 《中国医药指南》 2013年第19期417-418,共2页 Guide of China Medicine
关键词 脑出血 血糖 临床 预后 Cerebral hemorrhage Blood glucose Clinical Prognosis
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  • 1施志杰.急性脑出血患者血糖水平与病情及预后的相关性[J].中国基层医药,2009,16(10):1822-1823. 被引量:7
  • 2Kimura K,Iguchi Y,Inoue T,et al.Hyperglycemia independently i nc rea ses t he r isk of ea rly deat h i n acut e spont a neou s intracerebral hemorrhage[J].J Neurol Sci,2007,255(12):90-94.
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  • 4Levetan CS.Effect of hyperglycemia on stroke outcomes[J].Endocr Pract,2004,10(Suppl2):34-39.

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