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目的:探讨高血糖与急性脑梗死患者预后的关系。方法:检测了141例脑梗死患者急性期(<24h)的首次空腹血糖,并按血糖值分为单纯应激性高血糖组、糖尿病组和血糖正常组。结果:血糖正常组发生脑梗死急性期预后好于单纯应激性高血糖组和糖尿病组(P<0.05);单纯应激性高血糖组、糖尿病组脑梗死死亡率比血糖正常组高(P<0.05)。结论:检测血糖值可作为急性脑梗死患者评估病情、选择治疗方法的重要手段。
Objective: To investigate the relationship between hyperglycemia and prognosis in patients with acute cerebral infarction. Methods: The first fasting plasma glucose was measured in 141 patients with acute cerebral infarction (<24h) and divided into stress-induced hyperglycemia group, diabetes mellitus group and normal blood glucose group by blood glucose level. Results: The acute stage of cerebral infarction with normal blood glucose group had better prognosis than that of stress hyperglycemia group and diabetic group (P <0.05). The mortality of cerebral infarction group was higher than that of normal glucose group <0.05). Conclusion: The detection of blood glucose can be used as an important method to evaluate the condition of patients with acute cerebral infarction and choose the treatment method.