摘要
目的观察急性缺血性脑卒中患者发病 6小时以内采用溶栓治疗、控制血糖水平对预后的影响。方法按照疗效判断标准 ,用 χ2检验 ,研究 6小时内和 6小时后溶栓治疗的预后 ,高血糖和正常血糖患者的预后。用 t检验分析高血糖和正常血糖患者的神经功能评分和转归。结果溶栓疗法在 6小时内使用的患者预后明显好于 6小时以后 ( P<0 .0 1) ,差异极其显著。高血糖患者的预后明显比正常血糖患者差 ( P<0 .0 1)。高血糖和正常血糖患者的神经功能评分和转归有显著性差异 ( P<0 .0 5 )。结论急性缺血性脑卒中患者及时就诊 ,早期诊断 ,在 6小时以内采用溶栓治疗对患者预后起关键性作用 ,同时控制患者血糖水平 。
ObjectiveTo observe the effect of thrombolysis and controlling of blood sugar level within 6 hours after acute ischemic stroke happened on prognosis.MethodsAccording to the standard of therapeutic evaluation,the prognosis of thrombolysis therapy within and after 6 hours and the prognosis of normal and high blood sugar patients were studied by χ 2 test.The nerve functional scoring and transferring for normal and high blood sugar patients was analyzed by t test.ResultsThe prognosis within 6 hours was obviously better than that after 6 hours(P<0.01),with significant difference.However,the prognosis of high blood sugar patients was remarkably worse than that of normal patients (P<0.01).There was significant difference in nerve functional scoring and transferring for high blood sugar and normal patients (P<0.05).ConclusionThrombolysis within 6 hours plays a key role in prognosis if acute ischemic stroke patients are diagnosed early.Meanwhile,blood sugar level should be controlled which is important to the recovery of the patients.
出处
《中国综合临床》
北大核心
2002年第7期594-595,共2页
Clinical Medicine of China
关键词
急性缺血性脑卒中
溶栓治疗
血糖控制
预后
Acute ischemic stroke
Thrombolysis
Controlling of blood sugar level
Prognosis
