摘要
目的:探讨糖尿病合并脑梗死患者急性期血糖控制水平对预后的影响。方法:根据发病后1～7天空腹血糖控制情况将患者分成3组:血糖控制正常组(Ⅰ组)、高血糖1组(Ⅱ组)、高血糖2组(Ⅲ组)、入院时及治疗2周后均行NIHSS评分,观察了解患者预后。结果:治疗有效率前者较后者高,二者均与空腹血糖平均水平控制8.0mmol/L以上组有显著性差异(P<0.01)。结论:糖尿病脑梗死患者急性期应积极将血糖控制在8.0mmol/L以内,预后尚可,>8.0mmol/L预后差。
Objective：To investigate the relationship between the level of blood sugar on prognosis in acute stage of cerebral infarction with diabetes.Methods：According to the situation of blood sugar control from 1to 7 days after cerebral infarction attack,the cases were divided into normal group,high blood sugar grop 1 and high blood sugar group 2.The NIHSS scoring were defined at the time points of attack and 2 weeks,and compared the prognosis among groups.Results：The therapeutic effect was better in former group than latter group.There were significant difference between normal,high blood sugar group 1 and high blood sugar group 2（P0.01）.Conalusion：It suggested that the blood sugar should be controlled within 8.0mmol/L in acute stage of cerebral infarction with diabetes,the prognosis would be worse once the blood sugar over 8.0mmol/L.
