CAJ | 학술논문

　　目的：探讨颅脑损伤后高血糖与预后的关系。方法：将我院2010年1月～2010年6月收治的100例颅脑外伤患者按格拉斯哥昏迷评分（GCS）分为GCS3～8分组26例，9～12分组11例及13～15分组63例，测定入院次日空腹血糖值。结果：血糖水平与GCS 评分有明显关系，GCS评分13～15分组血糖为（6．59±0．33）mmol/l，9～12分组血糖为（7．18±0．45）mmol/l，3～8分组血糖为（13．96±1．61）mmol/l，GCS 评分越低，血糖水平则越高（P＜0．05），而血糖水平越高，病死率越高（P＜0．05）。结论：颅脑损伤后血糖值可作为判断颅脑外伤严重程度的指标，控制高血糖以改善颅脑损伤患者的预后。
　　목적：탐토로뇌손상후고혈당여예후적관계。방법：장아원2010년1월～2010년6월수치적100례로뇌외상환자안격랍사가혼미평분（GCS）분위GCS3～8분조26례，9～12분조11례급13～15분조63례，측정입원차일공복혈당치。결과：혈당수평여GCS 평분유명현관계，GCS평분13～15분조혈당위（6．59±0．33）mmol/l，9～12분조혈당위（7．18±0．45）mmol/l，3～8분조혈당위（13．96±1．61）mmol/l，GCS 평분월저，혈당수평칙월고（P＜0．05），이혈당수평월고，병사솔월고（P＜0．05）。결론：로뇌손상후혈당치가작위판단로뇌외상엄중정도적지표，공제고혈당이개선로뇌손상환자적예후。
Objective: To explore the relationship of hyperglycemia and prognosis of craniocerebral injury. Methods:From Jan 2010 to Jun 2010,100 patients with traumatic brain injury were divided into three groups according to the Glasgow coma score (GCS),“GCS”3~8 group,“GCS”9~12 group,and “GCS”13~15 group. The fasting blood glucose was examined at the next day among the three groups. Results:Blood glucose levels and GCS score had obviously relationship. The glucose was (6.59±0.33)mmol/l, (7.18±0.45)mmol/l and (13.96±1.61)mmol/l in GCS score 13 to 15 group,9 to 12 group and 3 to 8 group respectively. The lower the GCS score,blood glucose level was higher (P<0.05),Similarly,the higher the blood glucose level was higher mortality rate (P<0.05). Conclusions:After craniocerebral injury,the blood glucose is an index of the injury degree. We should try to control the high blood glucose to improve the prognosis of patient with craniocerebral injury.