CAJ | 학술논문

目的：探讨脑卒中应激性高血糖对预后的影响。方法选择我院2008年1月～2013年5月100例急性脑卒中应激性高血糖患者的资料，所有患者均采用胰岛素治疗，其中39例患者血糖未达标，记为观察组，其余患者均达标，记为对照组，对两组患者的预后进行评价。结果观察组患者神经功能缺损评分明显高于对照组，比较差异有统计学意义（P＜0.05）；观察组患者总有效率高于对照组，比较差异有统计学意义（P＜0.05）。结论脑卒中患者进行血糖控制可明显改善早期神经功能，提高患者治愈率，在治疗过程中应对高血糖进行积极控制。
목적：탐토뇌졸중응격성고혈당대예후적영향。방법선택아원2008년1월～2013년5월100례급성뇌졸중응격성고혈당환자적자료，소유환자균채용이도소치료，기중39례환자혈당미체표，기위관찰조，기여환자균체표，기위대조조，대량조환자적예후진행평개。결과관찰조환자신경공능결손평분명현고우대조조，비교차이유통계학의의（P＜0.05）；관찰조환자총유효솔고우대조조，비교차이유통계학의의（P＜0.05）。결론뇌졸중환자진행혈당공제가명현개선조기신경공능，제고환자치유솔，재치료과정중응대고혈당진행적겁공제。
Objective To investigate the influence of stroke stress hyperglycemia on the outcome. Methods The patients with acute stroke stress hyperglycemia who were treated in our hospital from January 2008 to May 2013 were selected and given insulin treatment, of which 39 patients who did not reach the standard were assigned to the observation group and the rest who reached the standard were assigned to the control group. The prognosis of the two groups was evaluated. Results The observation group had significantly higher neurologic impairment score than the control group, with statistically significant difference (P<0.05). The observation group had higher total response rate than the control group, with statistically significant difference (P<0.05). Conclusion Controlling the hyperglycemia of stroke patients can obviously improve the patients' early neurological function and improve their cure rate, thus hyperglycemia should be controlled actively during treatment.