摘要
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。
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 Glasgow 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 cases （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.
出处
《检验医学与临床》
CAS
2013年第17期2215-2216,共2页
Laboratory Medicine and Clinic
关键词
创伤性脑损伤
胰岛素抵抗
高血糖
traumatic brain injury
insulin resistance
hyperglycemia
