CAJ | 학술논문

目的:探讨急性脑卒中时空腹血糖(FBS)、糖化血红蛋白Alc(HbAlc)和乳酸脱氢酶(LDH)联合测定的临床意义.方法:50例急性脑卒中患者进行欧洲脑卒中(ESS)评分,测定FBS、HbAlc、LDH及中性粒细胞(NEUT)比例,按疾病类型及FBS与HbAlc联合两种方法分组,比较各组间指标差异.结果:脑出血组的ESS评分低于脑梗死组,NEUT高比例的发生率及LDH水平高于脑梗死组(P<0.05),非糖尿病性高血糖组ESS评分低于正常血糖组(P<0.01)和糖尿病性高血糖组(P<0.05),NEUT高比例的发生率及LDH水平高于正常血糖组(P<0.01)和糖尿病性高血糖组(P<0.05).结论:高FBS伴HbAlc正常的急性脑卒中患者的LDH水平高,病情重.
목적:탐토급성뇌졸중시공복혈당(FBS)、당화혈홍단백Alc(HbAlc)화유산탈경매(LDH)연합측정적림상의의.방법:50례급성뇌졸중환자진행구주뇌졸중(ESS)평분,측정FBS、HbAlc、LDH급중성립세포(NEUT)비례,안질병류형급FBS여HbAlc연합량충방법분조,비교각조간지표차이.결과:뇌출혈조적ESS평분저우뇌경사조,NEUT고비례적발생솔급LDH수평고우뇌경사조(P<0.05),비당뇨병성고혈당조ESS평분저우정상혈당조(P<0.01)화당뇨병성고혈당조(P<0.05),NEUT고비례적발생솔급LDH수평고우정상혈당조(P<0.01)화당뇨병성고혈당조(P<0.05).결론:고FBS반HbAlc정상적급성뇌졸중환자적LDH수평고,병정중.
Objective:To investigate the clinical significance of blood glucose and HbAlc combined with lactate dehydrogenase in acute stroke patients.Methods:50 patients hospitalized with acute stroke were divided into different groups by types of stroke and FBS with HbAlc.ESS scores,blood pressure,fast blood glucose,HbAlc,serum lipids,LDH and percentage of neutrophil were also measured.Results:Compared with iscbemic strokes,ESS scores were significantly lower in hemorrhagic strokes,but the level of LDH and the incidence of the high percentage of neutrophil were higher(P<0.05).ESS score in cases of hyperglycaemia without DM was significantly lower than that in normal FBS(P<0.01) and hyperglycacmia with DM (P<0.05).The level of LDH and the incidence of the high percentage of neutrophil in cases of hyperglycaemia without DM were higher than throe in normal FBS(P<0.01)and hyperglycsemia with DM(P<0.05).Conclusions:The results suggest that acute stroke patients who have hyperglycsemia with normal HbAlc have higher levels of LDH and more critical conditions.