| 原发性脑干出血并应激性血糖升高48例患者回顾性临床分析 |
| 投稿时间：2010-04-05 点此下载全文 |
| 引用本文：蔡志友,陈然,吴章松.原发性脑干出血并应激性血糖升高48例患者回顾性临床分析[J].医学研究杂志,2010,39(12):117-119 |
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| 中文摘要:目的探讨原发性脑干出血的危险因素与原发性脑干出血应激性血糖升高持续天数及原发性脑干出血的临床资料与胰岛素干预的关系。方法对48例原发性脑干出血应激性血糖升高的病人，分析年龄、性别、出血量、血压、意识障碍程度、发热和呼吸异常与应激性血糖增高持续的天数的关系，分析胰岛素治疗后肌力、感觉、呼吸、发热、应激性溃疡和意识障碍缓解和改善状况。结果通过与其应激性血糖增高持续的天数进行分析发现：出血量、血压、意识障碍程度、发热和呼吸异常与应激性血糖增高持续的天数有统计学意义，年龄和性别与应激性血糖增高无统计学意义。与非胰岛素治疗组比较，胰岛素治疗后肌力、感觉、呼吸、发热、应激性溃疡和意识障碍没有显著缓解和改善，无统计学意义。结论原发性脑干出血后应激性高血糖发生是多因素的，可以作为评定临床治疗和预后的重要指标。对于原发性脑干出血后应激性高血糖的治疗，降低血糖可能不是首先考虑的指标。 |
| 中文关键词:脑干出血 应激性高血糖 治疗 |
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| Retrospective Clinical Analysis of 48 Cases of Primary Brain Stem Hemorrhage with Activated Hyper-glycaemia |
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| Abstract:ObjectiveTo observe the relationship between the risk factors of primary brain stem hemorrhage and lasting days of activated hyper-glycaemia after brain stem hemorrhage and to study the relationship between clinical features of patients with brain stem hemorrhage and insulin intervention. MethodsWe analyzed 48 cases of primary brain stem hemorrhage patients with activated hyper-glycaemia by age, gender, blood loss, blood pressure, consciousness level, fever and respiratory disorders and studied the relationship between these indexes and lasting days of activated hyper-glycaemia. After brain stem hemorrhage we analyzed the conditions of consciousness , muscle strength, sensation, breath, fever and stress ulcer after insulin treatment. ResultsThere was statistical significance in blood volume, blood pressure, consciousness level, fever and respiratory disorders and days with activated hyperglycemia. Age and sex had no relationship with activated hyperglycemia. Compared with non-insulin-treated group, muscle strength, sensation, breath, fever, stress ulcer and consciousness had no significant relief after insulin treatment. ConclusionThe occurrence of activated hyper-glycaemia after primary brain stem hemorrhage is multifactorial and activated hyper-glycaemia can be used as an prognostic indicator for clinical treatment and assessment. Lowering blood glucose level may not be considered as a first indicator for activated hyper-glycaemia after brain stem hemorrhage. |
| keywords:Brain stem hemorrhage Activated hyper-glycaemia Treatment |
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