【摘要】：目的主要研究血糖水平對(duì)急性腦梗塞早期預(yù)后的影響。 方法采用前瞻性設(shè)計(jì),連續(xù)收錄我院104例發(fā)病72h內(nèi)入院急性腦梗塞病人,檢測(cè)空腹靜脈血糖,病人評(píng)估采用美國(guó)國(guó)立衛(wèi)生研究院卒中量表(NIHSS),運(yùn)用改良Rankin殘障量表評(píng)分(mRs)在發(fā)病30天時(shí)評(píng)估預(yù)后。統(tǒng)計(jì)學(xué)采用Logistic回歸分析,分析影響血糖水平的因素及高血糖對(duì)急性腦梗塞早期預(yù)后的影響,P0.05有統(tǒng)計(jì)學(xué)差異。 結(jié)果(1)104例急性腦梗塞患者中,43例(41.3%)出現(xiàn)高血糖,年齡、糖尿病史、NIHSS評(píng)分是急性腦梗塞合并高血糖的危險(xiǎn)因素(P0.05),糖尿病史、NIHSS評(píng)分是急性腦梗塞合并高血糖的獨(dú)立危險(xiǎn)因素(P0.05)。(2)感染、高血糖、NIHSS評(píng)分對(duì)mRs評(píng)分的影響顯著相關(guān)(P0.05),高血糖.NIHSS評(píng)分是急性腦梗塞早期預(yù)后不良的獨(dú)立危險(xiǎn)因素(P0.05)。 結(jié)論高血糖為急性腦梗塞早期預(yù)后差的獨(dú)立危險(xiǎn)因素。
[Abstract]:Objective to study the effect of blood glucose level on early prognosis of acute cerebral infarction. Methods A prospective design was used to measure fasting venous blood glucose in 104 patients with acute cerebral infarction admitted to our hospital within 72 hours of onset. The patients were evaluated with the National Institutes of Health Stroke scale (NIHSS),). The modified Rankin Disability scale (mRs) was used to evaluate the prognosis 30 days after onset. Logistic regression analysis was used to analyze the factors affecting blood glucose level and the influence of hyperglycemia on early prognosis of acute cerebral infarction (P0.05). Results (1) among 104 patients with acute cerebral infarction, 43 (41.3%) had hyperglycemia, age, history of diabetes, NIHSS score were risk factors of acute cerebral infarction with hyperglycemia (P0.05), history of diabetes mellitus, NIHSS score was an independent risk factor of acute cerebral infarction complicated with hyperglycemia (P0.05). (2) infection. The influence of hyperglycemia and NIHSS score on mRs score was significant (P0.05). Hyperglycemia and NIHSS score were independent risk factors for poor early prognosis of acute cerebral infarction (P0.05). Conclusion hyperglycemia is an independent risk factor for poor early prognosis of acute cerebral infarction.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R743.3

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