《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (02): 124-125.

• 专题 • 上一篇    下一篇

脑出血血肿扩大与血糖的相关性研究

唐洲平; 陈娣; 陈兴泳; 骆翔; 孟祥武; 张苏明   

  1. 华中科技大学同济医学院附属同济医院神经内科,湖北武汉市 430030
  • 收稿日期:2007-09-19 出版日期:2008-02-01 发布日期:2008-02-01

Relationship between Hematoma Enlargement after Iintracerebral and Level of Blood Glucose

TANGZhou-ping, CHEN Di, CHEN Xing-yong, et al.   

  1. The Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Scienceand Technology, Wuhan430030, Hubei, China
  • Received:2007-09-19 Published:2008-02-01 Online:2008-02-01

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摘要： 目的探讨脑出血血肿扩大与入院后血糖升高的相关性。方法采用回顾性分析,将225例脑出血患者按照Brott标准分为血肿扩大组与非血肿扩大组,分析入院后血糖与血肿扩大的相关性。结果脑出血血肿扩大的发生与入院后血糖升高具有明显相关性(P<0.01),脑出血血肿扩大患者入院后血糖升高明显高于非血肿扩大患者(P<0.01)。结论对入院后血糖≥7.8mmol/L的脑出血患者应警惕是否有血肿扩大发生,并采取相应的治疗措施,改善患者的预后。

关键词: 脑出血, 血肿扩大, 血糖, 回顾性分析

Abstract: Objective To explore the relationship between the hematoma enlargement after intracerebral and level of blood glucose after admitted.Methods Data of all patients with intracerebral hemorrhage were reviewed retrospectively.All 225 patients with intracerebral hemorrhage were divided into the hematoma enlargement group and non-hematoma enlargement group according to Brott's diagnostic criteria.The relationship between the hematoma enlargement and level of blood glucose in patients after admitted was analyzed statistically.Results The incidence of hematoma enlargement correlated significantly with level of blood glucose after admitted(P<0.01).The level of blood glucose of patients with hematoma enlargement after admitted increases more than those of patients without hematoma enlargement(P<0.01).Conclusion If blood glucose over 7.8 mmol/L,the attention should be paid for occurrence of hematoma enlargement,and some effective treatment to lower the level of blood glucose should be taken to improve prognosis of the patients.

Key words: intracerebral hemorrhage, hematoma enlargement, blood glucose, retrospective analysis