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目的分析研究患者脑出血后血糖异常升高的发病规律以及对患者预后的影响。方法采取回顾性研究方法,选取2009年2月至2012年1月期间本院收治的278例脑出血患者作为研究对象,分析患者在初入院就诊时的血糖变化情况,根据患者的脑出血量以及出血部位对患者进行分组,然后对患者进行6个月的随访,探讨血糖异常升高的发病规律以及预后情况。结果脑出血患者中血糖异常升高的发病率为18.71%(52例),其中脑干出血患者的发病率要比脑出血患者高,脑出血患者的出血量多少同血糖升高值之间存在正相关的关系。脑出血量低于20ml的20例患者经治疗在4周内血糖全部恢复正常,出血量在20~40ml的22例患者经治疗共有86.36%(19例)恢复正常,出血量超过40ml的患者以及脑干出血的患者均未恢复正常。讨论脑出血后血糖异常升高表明患者的预后状况不理想,应当积极对血糖进行控制。
Objective To study the incidence of abnormal blood glucose after intracerebral hemorrhage (ICH) and its influence on the prognosis of patients. Methods A retrospective study was conducted to select 278 patients with ICH treated in our hospital from February 2009 to January 2012. The changes of blood glucose level at the first admission were analyzed. According to the patients’ Bleeding site patients were grouped, and then patients were followed up for 6 months to explore the pathogenesis of abnormal blood glucose and prognosis. Results The incidence of abnormal blood glucose in patients with intracerebral hemorrhage was 18.71% (52 cases). The incidence of hemorrhage in patients with brainstem hemorrhage was higher than that in patients with cerebral hemorrhage. There was a difference between the amount of hemorrhage in patients with cerebral hemorrhage and the increase in blood glucose Positive correlations. Twenty patients with ICH of less than 20ml returned to normal after 4 weeks of treatment. Twenty-two of the 22 patients with 20 to 40ml of blood loss returned to normal after treatment (19 cases), and the amount of bleeding exceeded 40ml Patients with brainstem hemorrhage did not return to normal. Discussion of abnormal blood glucose after intracerebral hemorrhage shows that the patient’s prognosis is not ideal, should actively control blood sugar.