CAJ | 학술논문

目的:探讨血糖和糖化血红蛋白(HbA1c)水平与脑梗死的相关性.方法:选择急性脑梗死患者169例,测定静脉空腹血糖、HbA1c水平,比较不同神经功能损坏程度、病灶大小、预后情况与空腹血糖、HbA1c的相关性.结果:脑神经功能受损重度组血糖水平显著高于轻度组(P<0.05),病灶面积轻度组血糖水平显著低于中度组和重度组(P<0.05),预后不同效果各组间的血糖水平差异均有统计学意义(P<0.05),其他组之间差异无统计学意义(P>0.05);脑神经功能不同程度受损、病灶不同大小、预后不同效果各组间的HbA1c水平差异均有统计学意义(P<0.05).结论:血糖、HbA1c水平与脑梗死严重程度密切相关,高血糖、HbA1c水平不利于脑梗死的预后.
목적:탐토혈당화당화혈홍단백(HbA1c)수평여뇌경사적상관성.방법:선택급성뇌경사환자169례,측정정맥공복혈당、HbA1c수평,비교불동신경공능손배정도、병조대소、예후정황여공복혈당、HbA1c적상관성.결과:뇌신경공능수손중도조혈당수평현저고우경도조(P<0.05),병조면적경도조혈당수평현저저우중도조화중도조(P<0.05),예후불동효과각조간적혈당수평차이균유통계학의의(P<0.05),기타조지간차이무통계학의의(P>0.05);뇌신경공능불동정도수손、병조불동대소、예후불동효과각조간적HbA1c수평차이균유통계학의의(P<0.05).결론:혈당、HbA1c수평여뇌경사엄중정도밀절상관,고혈당、HbA1c수평불리우뇌경사적예후.
Objective To investigate the blood glucose and glycated hemoglobin(HbA1c) level and cerebral infarction.Methods 169 cases with acute cerebral infarction by vein,fasting blood glucose,the level of HbA1c,comparison of different nerve function damage,lesion size,prognosis and fasting blood glucose,HbA1c correlation.Results Brain nerve function impairment in severe group blood glucose level was significantly higher than that of mild group(P<0.05),the lesion area of the mild group blood glucose level was significantly lower than the moderate group and severe group(P<0.05),the prognosis of different effect among different glucose level differences were statistically significant(P<0.05),there was no significant difference between other groups(P>0.05);brain function damaged to varying degrees,different sizes,different prognostic effect of lesions among different HbA1c level differences were statistically significant(P<0.05).Conclusion The blood glucose,HbA1c levels and the severity of cerebral infarction is closely related to the level of HbA1c,high blood sugar,is not conducive to the prognosis of cerebral infarction.