创伤性脑损伤后应激性高血糖45例分析

摘要

Objective To analyze the relationship between hyperglycemia and the degree of traumatic brain in-jury (TBI) .Methods 45 patients with TBI were divided into mild ,medium and severe group ,according to the Glas-gow score ,and blood glucose level was continuously detected at 2-hours interval within 3 days after admission .The data was analyzed by variance analysis .Results Blood glucose level in severe group was significantly higher than mild group and medium group (P<0 .01) ,and that in 8 cases of death was also significantly higher than survival ca-ses (P<0 .01) .Conclusion There could be closely correlation between blood glucose level in patients with TBI and the severity of disease and the prognosis of patients .%目的对创伤性脑损伤（TBI）后来该院就诊的45例患者进行血糖随访，入院后采集患者血糖进行分析，探讨高血糖与创伤性脑损伤程度是否相关。方法将45例患者按照格拉斯哥评分法分为轻、中、重3组，采集患者入院前3d血糖，每2小时测1次，所得数据进行方差分析。结果重度脑损伤组比轻度和中度组血糖明显增高，差异有统计学意义（P＜0．01）。而其中共死亡8例，死亡组的血糖也明显高于剩余存活组，差异有统计学意义（P＜0．01）。结论通过对TBI患者的血糖动态随访，证实了 TBI患者血糖增高的程度与脑损伤严重程度存在相关性，并且血糖增高与患者的预后也存在相关性。