在急性脑梗死中，常常有应激反应参与，而应激性高血糖是此类应激反应表现之一。本文观察应激性高血糖对急性脑梗死患者临床预后的影响，现报道如下。
论著
应激性高血糖对急性脑梗死患者临床预后的影响分析
林丹
【摘要】 目的 探讨应激性高血糖对急性脑梗死患者临床预后影响。方法 选择应激性高血糖患者42例，为观察组，同时选择正常血糖脑梗死患者40例，为对照组。对两组患者入院时神经功能缺损状况进行评分；观察两组患者发病4周后临床转归；记录两组患者发病4周后临床事件发生。
【关键字】 应激性高血糖,急性脑梗死,临床预后
中图分类号：R743.3文献标识码：B文章编号：1671-8194（2011）01-0023-02
Effect of Stress Hyperglycemia on the Prognosis of Acute Cerebral Infarction
LIN Dan
First Affiliated Hospital, Shantou University Medical College, Shantou 51041, China
[Abstract] Objective To explore the effect of stress hyperglycemia on the prognosis of acute cerebral infarction. Methods 42 cases with acute cerebral infarction who had stress hyperglycemia were selected as observation group, and 40 cases with acute infarction who had normal blood glucose were selected as control group. Neurologic impairment score in two groups were evaluated while admission；the outcome was observed after 4 weeks of onset in two groups; clinical events were recorded after 4 weeks of onset in two groups. Results Neurologic impairment score in observation group compare with that in control group while admission, there was statistical difference（P<0.05）; the total rate of clinical in observation group comp compared with that in control group, there was statistical difference（P<0.05）; The incidence of clinical events in observation group compared with that in control group, there was statistical difference（P<0.05）.Conclusions Stress hyperglycemia can increase the incidence of clinical events in acute cerebral infarction, and effects the outcome.