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目的探讨急性脑出血与应激性高血糖、胰岛素抵抗相关性。方法采用双盲法检测50例脑出血患者的空腹血糖(FBG)、空腹胰岛素(FINS)、胰岛素敏感指数(ISI)。结果FBG与FINS之间呈正相关,胰岛素抵抗与出血量及出血部位有关,出血量>10 ml以及脑干出血者,胰岛素抵抗严重。结论脑出血患者应激性高血糖与胰岛素抵抗(IR)有关,IR是脑出血的危险因素。
Objective To investigate the correlation between acute cerebral hemorrhage and stress hyperglycemia and insulin resistance. Methods Fasting blood glucose (FBG), fasting insulin (FINS) and insulin sensitivity index (ISI) were measured by double-blind method in 50 patients with cerebral hemorrhage. Results There was a positive correlation between FBG and FINS. Insulin resistance was related to the amount of bleeding and bleeding. The patients with bleeding> 10 ml and those with bleeding from brainstem had severe insulin resistance. Conclusion The stress hyperglycemia is associated with insulin resistance (IR) in patients with cerebral hemorrhage. IR is a risk factor for cerebral hemorrhage.