發(fā)布時(shí)間：2018-05-14 05:04

  本文選題：血糖變異性 + 大面積腦梗死��； 參考：《世界最新醫(yī)學(xué)信息文摘》2016年96期

【摘要】：目的探討血糖變異性、血糖水平與急性大面積腦梗死患者預(yù)后的相關(guān)性。方法選取在我院神經(jīng)內(nèi)科住院治療的急性大面積腦梗死患者。對(duì)患者進(jìn)行APACHEⅡ評(píng)分。住院后即對(duì)患者進(jìn)行末梢血糖監(jiān)測(cè),分析住院期間Glu Ave血糖升高、血糖變異性與患者預(yù)后的相關(guān)性。結(jié)果共納入85例患者,28天內(nèi)死亡14例患者,病死率為16.5%。死亡組14例患者Glu SD、Glu CV與Glu Ave指標(biāo)顯著高于存活組71例患者(均P0.05)。28天病死率隨Glu Ave、Glu CV的升高而顯著升高(均P0.05)。APACHEⅡ評(píng)分隨著Glu CV的升高而顯著升高(P0.05),隨著Glu Ave升高而升高,但趨勢(shì)并不顯著(P0.05)。結(jié)論血糖波動(dòng)范圍大、高血糖與大面積腦梗死患者預(yù)后不良相關(guān),血糖變異性可以很好地預(yù)測(cè)急性大面積腦梗死患者預(yù)后。
[Abstract]:Objective to investigate the relationship between blood glucose variability, blood glucose level and prognosis of patients with acute large-area cerebral infarction. Methods patients with acute large-area cerebral infarction who were hospitalized in neurology department of our hospital were selected. The patients were assessed with APACHE 鈪，

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