摘要
对ＩＣＵ收治的６１例急性闭合性颅脑伤患者入院２４ｈ血糖水平与急性期格拉斯哥昏迷评分、颅脑伤不同类型及预后进行分析。结果提示：格拉斯哥昏迷评分与血糖水平经回归分析呈显著负相关（ｒ＝－０．９６４，Ｐ＜０．０１）；不同类型颅脑伤患者以脑挫裂伤组血糖最高。高血糖组患者病死率明显高于非高血糖组，死亡组患者血糖明显高于恢复不良组及恢复良好组。作者认为，血糖测定有助于了解颅脑伤的严重程度，同时可以估计患者的预后，在颅脑伤的救治过程中加强血糖监测是必要的。
We
investigated the level of blood glucose in 61patients with acute closed brain injury 24 hours
afteradmission to the ICU for the purpose of evaluatingthe relationship between blood glucose
and G lasgowComa Scale(GCS) of the acute phase,the differenttypes of brain injury and the
prognosisrespectively.The regression analysis showed G CS hadasignificant negative
correlation(r=-0.964,P<0.01)with the level of blood glocose;the highestlevel of blood glucose
appeared in the group of braincontusionof all the brain injury patients;the mortali-ty of the patien
ts with hyperglycemia wassignificantly higher than that of the patients withouthyperglycenia;the
ievels of blood glucose in the pa-tient who died wcresignificantly higher than those inthe
patients with satisfactory and unsatisfactory recoverv.We believe that the determination of
bloodglucose Could help exDlore the severity of brain inju-ry and evaluate the patient’s
prognosis.It is necessaryto closely tnonitor the blood glucose levels in theemergency treatment
of brain injury.
出处
《中国危重病急救医学》
CAS
CSCD
1994年第5期275-277,共3页
Chinese Critical Care Medicine
关键词
血糖
预后
颅脑损伤
blood glucose
brain injury
prognosis
