摘要
目的研究胰岛素对非高血糖(血糖≤7.0mmol/L)急性脑梗死的治疗作用及预后的影响。方法将75例不合并高血糖的急性脑梗死患者随机分为对照组和治疗组,治疗组40例给予常规治疗加胰岛素治疗即每2～4g低浓度糖注射液中加入1U胰岛素治疗10～14d,对照组35例患者只给予常规治疗,两组所有患者都于入院当日、治疗7d、治疗30d用中国卒中量表对神经系统症状和体征进行评估,根据评分比较两组疗效。结果治疗7d和30d治疗组有效率分别为52.5%、92.5%。对照组分别为28.6%、68.6%,经统计学处理治疗组与对照组疗效有差异性(P均<0.05)。结论胰岛素干预治疗对非高血糖急性脑梗死病情的恢复和改善预后有积极影响。
Objective To observe the therapeutic effect and prognosis of acute cerebral infarction with normal plasma glucose level （≤7.0mmol/L） with insulin for treatment. Methods A total of 75 acute cerebral infarction patients with normal plasma glucose level ,who were divided into two groups, one is treatment group including 40 patients who were given routine treament, also put 1U insulin into low consistency glucose injection per 2 - 4g glucose every day for two weeks ,the other is comparing group including 35 patients who were given only routine treatment. Chinese stroke scale （CSS） was used to evaluate the symptoms and signs, according to the scores of the first day, eighth day and thirty-first day comparing therapeutic effect between different groups. Results The clinical efficacy rate of insulin treating group was 52.5% （on the eighth day）and 92.5% （on the thirty-first day）. The clinical efficacy rate of routine treatment group was 28.6% （the eighth day）and 68.6% （the thirty-first day）. The therapeutic effect of two groups were different（ both P 〈 0.05）. Conclusion It has a postive effect on recovery and prognosis of acute cerebral infarction with normal plasma glucose level with insulin for treatment.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2009年第5期614-615,共2页
Journal of Apoplexy and Nervous Diseases
关键词
胰岛素
急性脑梗死
治疗
正常血糖
Acute aerebral infarction
Treament
Normal plasma glucose level
