中国康复理论与实践2001，Vol.7Issue(1)：7-9,3.
血糖水平与颅脑损伤时病情和预后的关系
Study on the correlation between blood glucose levels and severity/prognosis of traumatic brain injury
张建宏 1范建中 1蒋彬2
作者信息
- 1. 510515 广东广州市，广州第一军医大学南方医院康复科
- 2. 541001 广西桂林市，广西桂林地区人民医院康复科
- 折叠
摘要
Abstract
Objective To analyse the relationship between hyperglycemia andseverity/prognosis after brain injury, and to provide evidences for clinical treatment and prognosis.Methods 86 cases were divided into light (16 cases), moderate (24 cases) and severe (46 cases) injury groups based on Glasgow Coma Scale scores (GCS). The blood glucose was examined 48 hours, 1 week, 1 month and 2 months after injury. The results were analyzed according to the location/position of injury and the disability rating scale (DRS).Results The blood glucose level in light injury group was normal. The blood glucose levels in moderate and severe injury groups rised more significantly than those did in light injury group. The hyperglycemia in severe injury group persisted over 2 months. There was positive linear relativity relationship between the DRS and the blood glucose levels 48 hours and 2 months after injury. The higher the blood glucose level was, the more the severity of the disability was and the worse the prognosis was. The blood glucose level was higher in the patients with abroad injury following brainstem dysfunction and/or blood breaking into ventricle, even persisting over a few months. Conclusion Early hyperglycemia is a frequent phenomenon of the stress response to head injury, a significant indicator of its severity, and a reliable predictor of outcome.关键词
颅脑损伤/血糖水平/评定/预后分类
医药卫生引用本文复制引用
张建宏,范建中,蒋彬..血糖水平与颅脑损伤时病情和预后的关系[J].中国康复理论与实践,2001,7(1):7-9,3.
