摘要
目的:分析非糖尿病脑卒中患者急性期血糖、血脂浓度及其临床意义。方法:210例急性脑卒中患者,按年龄分为两组,老年组100例(脑梗塞45例,脑出血55例),非老年组110例(脑梗塞56例,脑出血54例),所有患者于发病24h内,并空腹12h后抽取静脉血,检测空腹血糖及总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)。并对患者入院时的神经功能缺损进行评分。结果:所有脑卒中患者,随着血糖水平的升高,神经功能缺损评分中型、重型患者所占比例亦增高。组内比较,脑出血组患者的空腹血糖、TG水平,神经功能缺损评分较脑梗塞组显著升高(P均<0.01);老年组的空腹血糖水平或神经功能缺损评分较非老年组显著升高(P均<0.01)。结论:脑出血组的空腹血糖水平、神经功能缺损评分高于脑梗塞组,而TG低于脑梗塞组;老年组的空腹血糖和神经功能缺损评分高于非老年组。脑卒中患者的血糖水平与病情有关,血糖水平越高,病情越重。
Objective： To analyze the clinical significance of the serum glucose and blood lipid levels in patients with acute stroke. Methods： A total of 210 patients with acute stroke were divided into two groups by age： senior group （100 cases, in which 45 cases with cerebral infarction, 55 cases with cerebral hemorrhage）; non-senior group （110 cases, 56 cases with cerebral infarction, 54 cases with cerebral hemorrhage）. After 24 h of onset, collected the fasting vein blood of all patients, then detected the TC, TG, HDL-C, LDL-C, FBG, at the same time, recorded the heurologic impairment score （NIS）. Results： For all patients, with the increase of blood glucose level, the ratio of patients with moderate and severe neurolgic impairment increased also. Within the groups, the FBG, TG level and NIS in cerebral hemorrhage group significantly increased compared with those in cerebral infarction group （P〈0.01 all）. The FBG level and NIS in senior group increased compared with those in non-senior group （P〈0.01 all）. Conclusion： The level of serum glucose is more, the severity of disease is more. The severity of disease of senior patient is more than that of no-senior patient.
出处
《心血管康复医学杂志》
CAS
2008年第6期544-546,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
脑血管意外
血糖
高脂血症
Cerebral accident
Blood glucose
Hyperlipoidemia
