标题：脑梗死后应激性高血糖对患者自主活动能力恢复的影响

      作者：姚文勇，刘盛国，彭建
    (资中县人民医院神经内科，四川 资中 641200)

      卷次： 2016年27卷11期

      【摘要】 目的 探讨脑梗死后应激性高血糖对患者自主活动能力恢复的影响。方法 选取2014年3~9月期
间本医院神经内科收治的脑梗死患者78例，入院次日抽取静脉血检测空腹血糖(FBG)，据血糖水平将患者分为高
血糖组(FBG≥6.1 mmol/L，n=32)和正常血糖组(FBG<6.1 mmol/L，n=46)，确诊后均按照急性脑梗死治疗方案给予
常规治疗，应用Barthel指数作为评价指标，观察并比较两组患者治疗前后自主活动能力的恢复情况。结果 入院
时高血糖组Barthel指数评分为(46.1±12.4）分，正常血糖组为(45.6±13.1)分，组间比较差异无统计学意义(P>0.05)；
治疗 7 d、14 d，血糖升高组患者Barthel 指数评分分别为(53.1±14.9)分、(60.4±15.3)分，明显低于血糖正常组的
(68.2±14.9)分和(80.3±17.9)分，差异均有统计学意义(P<0.05)。结论 应激性高血糖者神经功能恢复差，FBG可作
为评价病情及预后的指标。

      【关键词】 脑梗死；应激性高血糖；自主活动能力；预后

      【中图分类号】 R743.33 【文献标识码】 A 【文章编号】 1003—6350（2016）11—1750—03


Influence of stress hyperglycemia after cerebral infarction on recovery of daily living activity in the patients.
YAO
Wen-yong, LIU Sheng-guo, PENG Jian. Department of Neurology, Zizhong People's Hospital of Neijiang, Zizhong 641200,
Sichuan, CHINA

【Abstract】 Objective To analyze the influence of stress hyperglycemia after cerebral infarction on recovery of
daily living activity in the patients. Methods Seventy-eight patients with cerebral infarction were selected in Depart-
ment of Neurology in our hospital from March to September in 2014, who were detected for fasting blood-glucose
(FBG) in the next day after admission. According to the FBG level, the patients were divided into patients with stress hy-
perglycemia group (FBG≥6.1 mmol/L, n=32) and euglycemia group (FBG<6.1 mmol/L, n=46). After diagnosis, all pa-
tients were given routine treatment according to the treatment of acute cerebral infarction. Barthel index was used as
evaluation index. The recovery of daily living activity of the two groups of patients before and after the treatment were
observed and compared. Results On admission, the Barthel index score of hyperglycemia group was (46.1±12.4), and
the score of euglycemia group was (45.6±13.1), with no significant difference between the two groups (P>0.05). The
Barthel index score in hyperglycemia group after treatment for 7 days and 14 days were significantly lower than those in
euglycemia group [(53.1±14.9) vs (68.2±14.9), (60.4±15.3) vs (80.3±17.9), P<0.05]. Conclusion Neural functional re-
covery is poor in patients with stress hyperglycemia, and the FBG can be used as an index for evaluating the severity and
prognosis of the disease.

      【Key words】 Cerebral infarction; Stress hyperglycemia; Activities of daily living; Prognosis
·论 著·
6350.2016.11.008