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目的探讨颅脑外伤患者血糖水平监测的意义。方法共纳入69例颅脑外伤患者,按GCS评分分为轻中重3组,3组患者均于入院时抽取静脉血检测血糖。从入院d2开始,每天至少1次检测血糖,每周取平均值,共监测3周。并比较恢复良好组、遗留残疾组及死亡组的入院血糖及3周的血糖。结果 GCS评分3组患者中,中度组及重度组两组患者的入院血糖明显高于轻度组患者;与中度组相比,重度组患者血糖均明显增高。在预后的3组患者中,遗留残疾组及死亡组两组患者的血糖均明显高于恢复良好组患者;与遗留残疾组相比,死亡组患者的血糖均明显增高。结论颅脑外伤患者的血糖水平可以反映患者的病情严重程度,且可以显著影响患者的预后情况,因此对该类患者早期行降血糖治疗可以降低患者的死亡率,提高患者的预后生存质量。
Objective To explore the significance of blood glucose monitoring in patients with traumatic brain injury. Methods A total of 69 patients with craniocerebral trauma were enrolled. According to the GCS score, they were divided into three groups: light, medium and heavy. Blood glucose was measured in all three groups by venous blood during admission. Blood glucose was measured at least once daily from d2 on admission and averaged weekly for a total of 3 weeks. The admission blood glucose and 3-week blood glucose in the well-recovered group, the residual disabled group and the death group were compared. Results The GCS score of 3 groups of patients, moderate and severe group of two groups of patients with admission blood glucose was significantly higher than the mild group; compared with the moderate group, severe group of patients were significantly higher blood glucose. Among the three groups of patients with prognosis, the blood glucose of the two groups of patients with residual disability and death group were significantly higher than those of the well-recovered group. Compared with the residual disability group, the blood sugar of the death group was significantly higher. Conclusion The blood glucose level of patients with craniocerebral trauma can reflect the severity of the patient’s condition and can significantly affect the prognosis of patients. Therefore, the early treatment of such patients can reduce the mortality and improve the prognosis of patients.