摘要
目的探讨血糖、糖化血红蛋白(HbA1c)水平与急性脑梗死的临床关系。方法选择急性脑梗死患者88例,分为以往有糖尿病组和无糖尿病组。测定静脉空腹血糖、HbA1c。并另选88例为正常对照组。结果糖尿病组和无糖尿病组血糖水平明显升高,且与正常对照组比较有显著性差异(P<0.01),但二者之间血糖水平差异无显著性(P>0.05)。糖尿病组HbA1c,与无糖尿病组和正常对照组比较均有显著性差异(P<0.01)。而无糖尿病组和正常对照组比较均无显著性差异(P>0.05)。结论高血糖、高HbA1c会增加急性脑梗死神经系统损伤。因此HbA1c测定是早期鉴别脑梗死应激性高血糖和糖尿病的可靠方法,可以对急性脑梗死合并糖尿病进行及时准确积极干预、治疗。
Objective To study the relationships between Glycated hemoglobin（HbA1c） detection,blood glucose（Glu）and acute cerebral infarction.Methods 88 cases of acute cerebral infarction patients divided into diabetic history group and non history diabetic group.HbA1c and blood Glu were detected in empty stomach.At the same times 88 cases of healthy adults were as control group.Results The blood Glu levels in diabetic history group and non diabetic history group were higher than that in control group with positive relationship（P0.01）.The level of HbA1c in diabetic history group was higher than that in non diabetic history group and control group with positive relationship（P0.01）,while that in non diabetic history group was similar with control group（P0.05）.Conclusion High blood Glu and HbA1c would cause the increasing nervous system deficit.The detection of HbA1c might be reliable in early stage of acute cerebral infarction and diabetes that could supply the early treatment methods selection.
出处
《中国医药指南》
2011年第3期42-43,共2页
Guide of China Medicine
关键词
糖化血红蛋白
急性脑梗死
高血糖
Glycated hemoglobin
Acute cerebral infarction
High blood sugar
