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目的探讨脑梗死患者早期高血糖的发生与四种脑梗死分型、病情转归等预后问题之间的关系。方法回顾分析2013年6月—2015年1月到该院就医并确诊的140例急性脑梗死患者,按所有患者空腹血糖测量结果分成二组,每组70例,其中A组脑梗死患者的血糖含量均高于正常水平,而B组脑梗死患者的血糖含量正常。通过各分型血糖含量分布、早期神经功能恶化情况、入院后前5d的NIHSS评分情况以及脑梗死患者病情转归等情况,分析判断脑梗死患者前期高血糖与其分型及预后情况之间的关系。结果 TACI分型的高血糖发生率(54.05%)远高于其他三种分型(PACI、LACI和POCI),其中PACI分型的高血糖发生率(16.67%)最低;A组脑梗死患者的神经功能恶化倾向率(34.29%)远高于B组(12.86%);A组脑梗死患者在入院后前5d的评分状况均普遍都高于B组;A组治疗无效率(14.29%)和患者病死率(14.29%)均高于B组脑梗死患者的,而治疗总体有效率(71.43%)比B组脑梗死患者(88.57%)要低且二组间的各项数据差异较大(P<0.05)。结论急性脑梗死患者发病时血糖值的升高对脑梗死分型有影响,且能增加脑梗死患者神经功能恶化程度,与其预后紧密相连。
Objective To investigate the relationship between the occurrence of early hyperglycemia and the prognosis of four cerebral infarction types and prognosis in patients with cerebral infarction. Methods A retrospective analysis of 140 acute cerebral infarction patients who were admitted to the hospital from June 2013 to January 2015 for diagnosis and treatment was divided into two groups according to the fasting blood glucose measurement results of all the patients, 70 cases in each group. The blood sugar Content were higher than the normal level, while patients with cerebral infarction group B blood glucose levels were normal. Through the classification of blood glucose levels, early deterioration of neurological function, the NIHSS score in the first 5 days after admission, and the prognosis of patients with cerebral infarction, the relationship between early hyperglycemia and its classification and prognosis in patients with cerebral infarction was analyzed . Results The incidence of hyperglycemia (54.05%) in TACI classification was much higher than that in the other three types (PACI, LACI and POCI). The incidence of hyperglycemia in PACI classification was the lowest (16.67%). In group A, The rate of deterioration of neurological function (34.29%) was much higher than that of group B (12.86%). The score of the patients in group A before 5 days after admission was generally higher than that in group B; The patients’ mortality rate was higher (14.29%) than that of patients with cerebral infarction in group B, and the overall effective rate (71.43%) was lower than that of patients with cerebral infarction (88.57%) in group B and the data of the two groups differed greatly P <0.05). Conclusion The incidence of acute cerebral infarction patients with elevated blood glucose levels affect the classification of cerebral infarction, and can increase the degree of neurological deterioration in patients with cerebral infarction, and its prognosis are closely linked.