期刊文献+

急性创伤性脑损伤后凝血病患者的血糖水平与预后的相关性研究 被引量:8

Study of Correlation between Blood Glucose Level and Prognosis in the Coagulopathy Patients with Acute Traumatic Brain Injury
暂未订购
导出
摘要 目的探讨急性创伤性脑损伤后凝血病患者的血糖水平与预后的相关性。方法对120例急性创伤性脑损伤患者的临床资料进行回顾性分析,观察血糖水平对其凝血功能及其预后的影响。结果血糖水平与凝血病发病率呈正相关(P<0.01),凝血病患者的血糖水平与生存率呈负相关(P<0.01),与其病残程度呈正相关(P<0.01)。结论血糖水平可为创伤性凝血病的早期诊治提供新的方法和思路,并对患者的预后评价具有重要参考价值。 Objective To investigate the correlation between blood glucose level and prognosis in the coagulopathy patients with acute traumatic brain injury.Methods Clinical data of 120 cases with acute traumatic brain injury were analyzed retrospectively,and the effect of blood glucose level on its blood clotting function and its prognosis was observed.Results The blood sugar level was positively correlated with the incidence of coagulopathy(P0.01),and the blood glucose level was negatively correlated with survival rate(P0.01),but was positively correlated with disability degrees(P0.01).Conclusion The blood glucose level can provide new methods and ways for the early stage diagnosis of the coagulopathy patients with acute traumatic brain injured,and is valuable for the prognostic evaluation of patients.
作者 徐跃 郭莲
出处 《中国全科医学》 CAS CSCD 北大核心 2011年第6期614-616,共3页 Chinese General Practice
关键词 凝血病 颅脑损伤 血糖 Coagulopathy Craniocerebral trauma Blood glucose
  • 相关文献

参考文献11

  • 1Nyquist P. Management of acute intracranial and intraventricular hemorrhage [J]. CritCareMed, 2010, 38 (3): 946-953.
  • 2Lustenberger T, Talving P, Kobayashi L, et al. Early coagulopathy after isolated severe traumatic brain injury : relationship with hypoperfusion challenged [J]. Journal of TraumaInjury Infection & Critical Care, 2010, 69 (6): 1410-1414.
  • 3Gentile NT, Siren K. Glycemic control and the injured brain [J]. Emerg Med Clin North Am, 2009, 27 (1) : 151-169.
  • 4Randell T, Niskanen M. Management of physiological variables in neuroanaesthesia: maintaining homeostasis during intracranial surgery [J]. Curr Opin Anaesthesiol, 2006, 19 (5) : 492-497.
  • 5李志强,沈冬青,权哲,陈明,刘英.重型颅脑损伤患者预后相关因素分析[J].中国基层医药,2009,16(8):1361-1362. 被引量:13
  • 6曹顺华,姚秋辉,王东春.重型颅脑损伤患者颅内压监测及护理体会[J].中国全科医学,2010,13(14):1572-1574. 被引量:38
  • 7Asakura H, Hayashi T, Kobayashi T. Variety of pathogenesis, clinical manifestation and classification of disseminated intravascular coagulation [J]. RinshoKetsueki, 2010, 51 (1): 12-19.
  • 8Kohler HP. Insulin resistance syndrome: interaction with coagulation and fibrinolysis [J]. Swiss Med Wkly, 2002, 132 (19 -20) : 241-252.
  • 9Hermans G, Schetz M, van den Berghe G. Tight glucose control in critically ill adults [J]. JAMA, 2008, 300 (8) : 933-944.
  • 10Servadei F, Teasdale G, Merry G, et al. Defining acute mild head injury in aduhs: a proposal based on prognostic factors, diagnosis, and management [J]. J Neurotrauma, 2001, lg (7) : 657-664.

二级参考文献19

共引文献49

同被引文献81

  • 1吴国彪,任安洲.重型颅脑损伤病人血糖水平升高的临床研究[J].实用神经疾病杂志,2005,8(4):20-21. 被引量:2
  • 2路红社,朱诚,粟波,张光霁,江基尧.大鼠颅脑伤后血糖变化[J].第二军医大学学报,1996,17(4):333-335. 被引量:11
  • 3安刚,杨阳.颅脑外伤患者血糖变化与预后的关系[J].临床和实验医学杂志,2007,6(1):67-67. 被引量:13
  • 4Nyquist P.Management of acute intracranial and intraventricular hemorrhage[J].Crit Care Med,2010,38 (3):946-953.
  • 5Song EC,Chul K,Jeong SW,et al.Hyperglycemia exacerbatesbrain edema and perihematomalcel death after intracerebral hemorrhage[J].Stroke,2003,34(9):2215.
  • 6Salim A,Hadjizacharia P,Dubose J,et al.Persistent hyperglycemia in severe traumatic brain injury:an independent predictor of outcome[J].Am Surg,2009,75(1):25-29.
  • 7Mrmarou A,Signoretti S,Fatouros PP. Predominance of cellular edema in traumatic brain swelling in patients with severe head injuries[J].Journal of Neurosurgery,2006,(05):720-730.
  • 8Kim YJ. A systematic review of factors contributing to outcomes in patients with traumatic brain injury[J]. J Clin Nurs, 2011, 20 (11 -12) : 1518 -1532.
  • 9MacLeod JB, Lynn M, McKenney MG, et al. Early eoagulopathy predicts mortality in trauma[J]. J Trauma, 2003, 55(1) : 39 - 44.
  • 10Indulekha K, Surendar J, Mohan V. High sensitivity C - reactive protein, tumor necrosis factor - ct, interleukin - 6, and vascular cell adhesion molecule - 1 levels in Asian Indians with metabolic syndrome and insulin resistance ( CURES - 105 ) [ J ]. J Diabetes Sci Technol, 2011,5(4) : 982 -988.

引证文献8

二级引证文献43

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部