医学检验与临床
醫學檢驗與臨床
의학검험여림상
MEDICAL LATORATORY SCIENCE AND CLINICES
2014年
2期
13-14
,共2页
糖化血红蛋白%颅脑外伤%应激性血糖升高%糖尿病血糖升高
糖化血紅蛋白%顱腦外傷%應激性血糖升高%糖尿病血糖升高
당화혈홍단백%로뇌외상%응격성혈당승고%당뇨병혈당승고
Glycosylated hemoglobin%Craniocerebral trauma%Stress hyperglycemia%Diabetes hyperglycemia
目的：探讨糖化血红蛋白（HbA1c）在鉴别颅脑外伤患者应激性血糖升高与糖尿病血糖升高中的应用价值。方法：回顾性分析我院于2012年5月-2013年4月收治的210例因颅脑外伤住院且血糖升高患者的临床资料，所有患者均进行糖化血红蛋白检测，同时选取健康体检人员60例作为对照组，前两组患者均给予相应的治疗，观察治疗过程中血糖和糖化血红蛋白的变化规律以及对照组患者的空腹血糖和HbA1c水平变化规律。结果：根据糖化血红蛋白是否升高将其分为两组，HbA1c正常组（应激性血糖升高117例）与HbA1c升高组(糖尿病血糖升高93例）。较于对照组，两组的HbA1c含量均有提高，而且糖尿病血糖升高患者组的HbA1c含量明显高于应激性血糖升高组，对比差异有统计学意义。结论：HbA1c是鉴别颅脑外伤患者应激性血糖升高和糖尿病血糖升高的一个良好指标，在颅脑外伤病人入院后应该把糖化血红蛋白检测作为治疗方案的分组依据，以采取及时正确的治疗方案。
目的：探討糖化血紅蛋白（HbA1c）在鑒彆顱腦外傷患者應激性血糖升高與糖尿病血糖升高中的應用價值。方法：迴顧性分析我院于2012年5月-2013年4月收治的210例因顱腦外傷住院且血糖升高患者的臨床資料，所有患者均進行糖化血紅蛋白檢測，同時選取健康體檢人員60例作為對照組，前兩組患者均給予相應的治療，觀察治療過程中血糖和糖化血紅蛋白的變化規律以及對照組患者的空腹血糖和HbA1c水平變化規律。結果：根據糖化血紅蛋白是否升高將其分為兩組，HbA1c正常組（應激性血糖升高117例）與HbA1c升高組(糖尿病血糖升高93例）。較于對照組，兩組的HbA1c含量均有提高，而且糖尿病血糖升高患者組的HbA1c含量明顯高于應激性血糖升高組，對比差異有統計學意義。結論：HbA1c是鑒彆顱腦外傷患者應激性血糖升高和糖尿病血糖升高的一箇良好指標，在顱腦外傷病人入院後應該把糖化血紅蛋白檢測作為治療方案的分組依據，以採取及時正確的治療方案。
목적：탐토당화혈홍단백（HbA1c）재감별로뇌외상환자응격성혈당승고여당뇨병혈당승고중적응용개치。방법：회고성분석아원우2012년5월-2013년4월수치적210례인로뇌외상주원차혈당승고환자적림상자료，소유환자균진행당화혈홍단백검측，동시선취건강체검인원60례작위대조조，전량조환자균급여상응적치료，관찰치료과정중혈당화당화혈홍단백적변화규률이급대조조환자적공복혈당화HbA1c수평변화규률。결과：근거당화혈홍단백시부승고장기분위량조，HbA1c정상조（응격성혈당승고117례）여HbA1c승고조(당뇨병혈당승고93례）。교우대조조，량조적HbA1c함량균유제고，이차당뇨병혈당승고환자조적HbA1c함량명현고우응격성혈당승고조，대비차이유통계학의의。결론：HbA1c시감별로뇌외상환자응격성혈당승고화당뇨병혈당승고적일개량호지표，재로뇌외상병인입원후응해파당화혈홍단백검측작위치료방안적분조의거，이채취급시정학적치료방안。
Objective:To investigate the glycosylated hemoglobin (HbA1c) increased value and diabetes blood sugar rise high in the differential diagnosis of craniocerebral trauma patients with stress hyperglycemia.Methods:Retrospective analysis of our hospital in 2012 May -2013 year in April 210 cases with craniocerebral trauma hospitalized and hyperglycemia in patients with clinical data, al patients were glycosylated hemoglobin, and selected healthy persons as control group of 60 cases, two patients were given corresponding treatment, to observe the changes of blood glucose and glycosylated hemoglobin in the course of treatment and the control of blood glucose and HbA1c level changes in patients with fasting group.Results:According to the glycosylated hemoglobin levels wil be divided into two groups, HbA1c group (117 cases of low stress hyperglycemia) and high HbA1c group (93 cases of diabetic hyperglycemia). Compared with the control group, two groups were HbA1c content increased, the content of HbA1c and diabetic hyperglycemia group was significantly higher than that of stress hyperglycemia group, there are significant differences in contrast.Conclusions:HbA1c is a good index for identification of patients with craniocerebral trauma stress hyperglycemia and diabetic hyperglycemia in patients after craniocerebral injury, should put the glycosylated hemoglobin detection as a packet according to the treatment plan, to take timely and proper treatment.
