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326例急性脑梗死患者分为3组:糖尿病组48例,非糖尿病高血糖组86例和非糖尿病正常血糖组192例。按照脑梗死病人临床神经功能缺损程度评分法和缺血性脑卒中CT扫描病灶范围评分法,对照分析了脑梗死后高血糖症与临床表现及脑缺血性损害程度与短期预后的关系。结果表明,急性脑梗死后高血糖不仅临床表现病情重(P<0.01)和脑缺血性损害范围大(P<0.05),而且对卒中短期预后也有不良的影响。
326 patients with acute cerebral infarction were divided into 3 groups: 48 cases of diabetic group, 86 cases of non-diabetic hyperglycemia group and 192 cases of non-diabetic normal blood glucose group. According to the score of clinical neurological deficit in patients with cerebral infarction and scoring range of CT scan of ischemic stroke, the relationship between hyperglycemia, clinical manifestations, cerebral ischemic damage and short-term prognosis after cerebral infarction was analyzed. The results showed that hyperglycemia was not only clinically significant (P <0.01) but also cerebral ischemic injury (P <0.05) after acute cerebral infarction, but also had an adverse effect on the short-term prognosis of stroke.