摘要
目的 探讨重型颅脑损伤后病人血糖水平对其预后的影响。方法 对79例重型颅脑损伤病人(GCS评分≤8分)入院6h内取肘静脉血测血糖,血糖<11.10 mmol/L者为A组(47例),血糖≥11.10 mmol/L者为B组(32例)。动态测定并记录空腹血糖,按出院时治愈、好转、植物生存、死亡状态进行预后评定。结果 重型颅脑损伤后血糖值高于正常参考值。A、B两组预后比较,P<0.01,差异有极显著性意义。入院时血糖越高,预后越差。1周后血糖控制不良者,预后情况显著差于血糖控制较好者(X2=8.70,P<0.01)。结论 血糖水平是评价重型颅脑损伤病人病情严重程度和预后的一项重要参考指标;应重视重型颅脑损伤病人的血糖监测,以利及时制定相应的治疗对策。
Objective To investigate the relationship between prognosis and blood glucose levels following severe craniocerebral trauma. Methods Cubital venous blood was taken out to measure blood glucose levels in seventy-nine cases of severe craniocerebral trauma within 6 h after admission (GCS score not more than 8). In the group A (n = 47), blood glucose level was below 11. 10 mmol/L, and in the group B (n=32), blood glucose level was not less than 11. 10 mmol/L. Fasting blood glucose levels were dynamically measured and recorded. Prognostic assessment was done in terms of cure, remission, persistent vegetative state survival and death. Results Following severe craniocerebral trauma, the blood glucose level was higher than the normal value. There was very significant difference in the prognosis between the two groups (P<0. 01). At admission, the higher blood glucose level was, the worse the prognosis was. One week later, the prognosis of patients with non-satisfactory controlling of blood glucose were worse than those with satisfactory controlling of blood glucose (X2 =8. 70,P<0. 01). Conclusion Blood glucose level might be an important indicator to evaluate the severity and prognosis of the patients with severe craniocerebral trauma. Attention should be paid to the monitoring of blood glucose in the patients with craniocerebral trauma.
出处
《护理学杂志（综合版）》
2003年第2期93-94,共2页
Journal of Nursing Science
关键词
颅脑损伤
血糖
预后
craniocerebral trauma
blood glucose
prognosis
