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糖尿病和脑梗死后高血糖对急性脑梗死的影响 被引量:19

Impact of diabetes mellitus and hyperglycemia after cerebral infarction on acute cerebral infarction
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摘要 目的探讨糖尿病和脑梗死后高血糖对急性脑梗死的影响。方法将147例脑梗死患者分为糖尿病组、脑梗死后高血糖组(高血糖组)和对照组,对3组患者的临床资料进行统计学分析。结果糖尿病组、高血糖组的斯堪的纳维亚卒中量表评分低于对照组,糖尿病组与高血糖组合并后的并发症的发生率及病死率高于对照组(P<0.05)。结论急性脑血管病可引起血糖升高,高血糖又可进一步加重脑损伤,积极控制脑梗死患者的高血糖对阻断恶性循环有重要意义。 Objective To explore the impact of diabetes mellitus and the hyperglycemia after cerebral infarction on acute cerebral infarction.Methods Total 147 cases of cerebral infarction were divided into 3 groups: diabetic rats group,hyperglycemia after cerebral infarction group(hyperglycemia group) and control group,and clinical data of the three groups of patients were statistically analyzed.Results Scandinavian stroke scale score of diabetic group and hyperglycemia group was lower than that of control group.After diabetic group combined with hyperglycemia group,their incidence of complications and mortality rate were higher than those in control group(P<0.05).Conclusion Acute cerebrovascular disease can cause hyperglycemia,and hyperglycemia can further aggravate the brain injury.Thus,it is vital to control the hyperglycemia of patients with cerebral infarction actively to block the vicious cycle.
作者 贾振魁
出处 《中国实用神经疾病杂志》 2010年第3期27-29,共3页 Chinese Journal of Practical Nervous Diseases
关键词 脑梗死 糖尿病 高血糖 Cerebral infarction Diabetes mellitus Hyperglycemia
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