目的：探究高龄脑卒中患者糖代谢异常对其不良预后的关系。方法将收治的55例高龄脑卒中患者根据其相关的诊断分为出血性组(25例)和缺血性组(30例),分别给予两组患者FBG、HbA1c检查,并根据每组患者不同的血糖水平进行分析,分析血糖水平对预后的影响。结果出血组有9例为糖代谢异常,糖代谢异常发生率为36.0%,缺血组为14例,发生率为46.7%,缺血组糖代谢异常率显著高于出血组,差异具有统计学意义(P<0.05)；缺血组患者的平均血糖为(11.0±1.3)mmol/L,出血组为(9.0±1.5)mmol/L,两组比较差异具有统计学意义(P<0.05)。在两组患者中均出现这样一个规律：NDS逐渐升高,而GCS、ADL评分随之下降,NIHSS评分逐渐升高。结论血糖水平对于高龄脑卒中患者的预后影响比较大,因此在对于疾病的治疗中,要检测要糖代谢的相关指标,从而指导治疗。%Objective To explore the age of the sugar metabolic abnormalities in patients with cerebral apoplexy is its poor prognosis. Methods 55 cases of cerebral apoplexy in aged patients according to its relevant diagnostic divided into ischemic and hemorrhagic group (25 cases) group (30 cases), respectively, two groups of patients' FBG, HbA1c inspection, and ac-cording to the different blood sugar level of patients in each group were analyzed, and the analysis of the effect of blood glu-cose levels on prognosis. Results Nine cases of hemorrhage group, sugar metabolic abnormalities, sugar metabolism rate is 36.0%, for 14 cases of ischemia group, the incidence was 46.7%, ischemia group had a significantly higher rate of sugar metabolic abnormalities hemorrhage group, with significant difference statistically significant (P< 0.05); The average blood glucose for patients with ischemic group (11.0±1.3) tendency for L,(9.0±1.5) for hemorrhage group tendency, L is similar be-tween the two groups have statistical significance (P<0.05). In two groups of patients are in such a rule:ds increased, GCS and ADL score drops, NIHSS score increased. Conclusion The blood glucose levels have more influence on the prognosis of cerebral apoplexy in aged patients, so for the treatment of diseases, to detect to sugar metabolism related indicators, to guide the treatment.
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