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[1]李鸣,梁冲,吴鹤鸣,等.入院血糖水平与自发性脑出血患者近期预后的相关性研究[J].医学研究与战创伤救治(原医学研究生学报),2018,20(06):592-595.[doi:10.3969/j.issn.1672-271X.2018.06.007]
　LI Ming,LIANG Chong,WU He-ming,et al.The correlation between the level of blood glucose at admission and the short-term prognosis of patients with spontaneous intracerebral hemorrhage[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(06):592-595.[doi:10.3969/j.issn.1672-271X.2018.06.007]
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入院血糖水平与自发性脑出血患者近期预后的相关性研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第20卷
期数:
2018年06期
页码:
592-595
栏目:
临床研究
出版日期:
2018-11-20

文章信息/Info

Title:
The correlation between the level of blood glucose at admission and the short-term prognosis of patients with spontaneous intracerebral hemorrhage
作者:
李鸣; 梁冲; 吴鹤鸣; 顾振兴
作者单位：210002南京，南京中医药大学附属八一医院神经外科（李鸣、梁冲、吴鹤鸣、顾振兴）
Author(s):
LI Ming;  LIANG Chong;  WU He-ming;  GU Zhen-xing
(Department of Neurosurgery, the 81th Hospital Affiliated Nanjing University of Chinese Medicine,Nanjing 210002,Jiangsu,China)
关键词:
血糖; 自发性脑出血; 预后
Keywords:
blood glucose;  spontaneous cerebral hemorrhage;  prognosis
分类号:
R743.34
DOI:
10.3969/j.issn.1672-271X.2018.06.007
文献标志码:
A
摘要:
目的 分析入院血糖水平与自发性脑出血患者近期预后的相关性。方法 回顾性分析2014年6月至2017年4月南京中医药大学附属八一医院收治的发病时间＜24h的134例自发性脑出血患者的临床资料，均测定入院血糖水平，并按照患者90 d 改良Rankin表（mRS）分为预后良好与预后不良组，比较2组基线资料及血糖水平的差异，分析影响自发性脑出血患者预后的相关因素。结果 ①预后不良组年龄、血肿体积、入院收缩压、入院舒张压、入院血糖水平均高于预后良好组，预后不良组高血压、高血糖、高脂血症、合并感染及NIHSS评分为重度所占比例均高于预后良好组（P<0.05）。②年龄、高血压、糖尿病、高脂血症、血肿体积、入院收缩压、入院血糖、NIHSS评分均为影响自发性脑出血患者预后的独立危险因素（P<0.05）。③自发性脑出血入院血糖与患者mRS预后评分呈正相关（r=0.791，P<0.05）。结论 自发性脑出血患者入院血糖水平是影响患者预后的危险因素。
Abstract:
Objective To analyze the relationship between the blood glucose level on admission and the short-term prognosis of patients with spontaneous cerebral hemorrhage.Methods A total of 134 patients with spontaneous cerebral hemorrhage whose time of onset was shorter than 24 h in our hospital from June 2014 to April 2017 were enrolled in this study. The blood glucose levels were determined on admission, and the patients were divided into good prognosis group and poor prognosis group according to the 90 d modified Rankin scale (mRS) score. The baseline data and blood glucose levels were compared between the two groups. The correlation factors involved in the prognosis of patients with spontaneous cerebral hemorrhage were analyzed.Results ①Age, hematoma volume, systolic blood pressure, diastolic blood pressure and blood glucose level in the poor prognosis group on admission were higher than those in the good prognosis group. The proportions of hypertension, hyperglycemia, hyperlipidemia, infection and severe NIHSS score in the good prognosis group were higher than those in the good prognosis group (P<0.05). ②Age, hypertension, diabetes mellitus, hyperlipidemia, hematoma volume, systolic blood pressure on admission, blood glucose on admission and NIHSS score were the independent risk factors for the prognosis of patients with spontaneous cerebral hemorrhage (P<0.05). ③The blood glucose of patients with spontaneous cerebral hemorrhage on admission was positively correlated with the mRS prognosis score (r=0.651，P<0.05).Conclusion Blood glucose level is a risk factor affecting the prognosis of patients with spontaneous cerebral hemorrhage.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2018-11-20