CAJ | 학술논문

对249例急性脑梗死患者入院后查空腹血糖,空腹血糖正常者则查糖耐量试验(OGTT),然后将患者分为3组:糖尿病组、糖耐量受损组和正常血糖组.对此3组患者近期预后进行分析.结果发现不仅糖尿病组预后较正常组差,空腹血糖正常但糖耐量受损的患者预后也较正常组差(P<0.01).讨论了其影响预后的机制并提出在急性脑梗塞早期(24 h内)应禁止或慎重使用葡萄糖或含糖液体.
대249례급성뇌경사환자입원후사공복혈당,공복혈당정상자칙사당내량시험(OGTT),연후장환자분위3조:당뇨병조、당내량수손조화정상혈당조.대차3조환자근기예후진행분석.결과발현불부당뇨병조예후교정상조차,공복혈당정상단당내량수손적환자예후야교정상조차(P<0.01).토론료기영향예후적궤제병제출재급성뇌경새조기(24 h내)응금지혹신중사용포도당혹함당액체.
Fast blood sugar (FBS) levels were examined in 249 cases of acute ischemic stroke after admission. Those with normal FBS levels received oral glucose tolerance test (OGTT). Then, the 249 patients were divided into three groups: diabetes group, impairment glucose tolerance (IGT) group and normal glucose group (control). Prognosis was analyzed among the three groups. It was showed that the prognosis of cerebral infarction patients with diabetes or IGT was poor than the patients with normal glucose (P<0.01). The mechanisms affecting the prognosis were discussed. It was revealed that glucose or solutions containing glucose should be forbid to use in the early state of acute cerebral infarction.