150例老年急性脑卒中血糖值与近期预后的关系（Relationship between blood glucose value and short-term prognosis in 150 elderly patients with acute cerebral apoplexy）.docVIP

150例老年急性脑卒中血糖值与近期预后的关系（Relationship between blood glucose value and short-term prognosis in 150 elderly patients with acute cerebral apoplexy） 150 cases of elderly patients with acute stroke blood glucose level and short-term prognosis Update: 2010-10-15 click: Wang Jingru Zhang Hanyong Diabetes as a risk factor for cardiovascular disease, already well known. After acute stroke hyperglycemia can be past due to diabetes, may also be caused by the stress response after stroke. In order to investigate the fasting blood glucose of elderly patients with acute cerebral stroke and early prognosis, we observed 150 elderly patients with acute stroke in hospitalized patients, including 79 cases of hyperglycemia, report as follows now. 1 clinical data 1.1 average data 150 in male 96 cases, female 54 cases, aged 60 to 85 years old, average 70.56 years old, when the activity onset in 55 cases, sleep or rest onset in 95 cases, 102 cases had a history of hypertension and diabetes (68%), 39 cases (26%), history of coronary heart disease in 48 cases (32%). 1.2 clinical manifestation and auxiliary examination of 51 cases of severe headache, vomiting in 28 cases, 40 cases of mild headache, dizziness in 46 cases, 32 cases of disturbance of consciousness, hemiplegia in 132 cases, 42 cases of cerebral hemorrhage were confirmed by CT (28%), 108 cases of cerebral infarction (72%). All patients in the 24h to investigate the fasting blood glucose after admission, (normal value 3.9 ~ 6.1mmol/L). The fasting blood glucose 6.1mmol/L were divided into high glucose group, 6.1mmol/L patients were divided into normal glucose group. In 71 cases of non diabetic normal blood glucose, blood glucose increased in 79 cases, 40 cases of reactive hyperglycemia with no history of diabetes, the average fasting blood glucose was 10.25 + 1.6mmol/L, 39 patients with diabetes mellitus, average fasting blood glucose of 14.03 + 2.36mmol/L. Results 2 According to the CNDS standard for evaluation 1, the two groups of