糖耐量降低对缺血性脑血管病预后的影响

发布时间：2018-01-28 21:00

本文关键词： 糖耐量降低缺血性脑血管病神经功能缺损　出处：《临床医药文献电子杂志》2016年32期 　论文类型：期刊论文

【摘要】：目的探究与分析糖耐量降低对缺血性脑血管病预后的影响。方法选取我院2014年1月~2 0 1 6年1月收治的无糖尿病病史的缺血性脑血管病患者1 2 0例作为研究对象,对其进行常规空腹血糖(FPG)及糖化血红蛋白(Hb Ac)检查,对于FPG7.0 mmol/L的患者给予口服葡萄糖耐量试验(OGTT),并按照其检查结果分为正常血糖组与糖耐量减低组,对比两组患者第14、18周的神经功能缺损评分。结果两组患者入院后第4周、第12周较入院时相比均明显减低,正常血糖组较糖耐量减低组降低更加显著,差异有统计学意义(P0.05)。正常血糖组较糖耐量减低组相比临床总有效率明显提高,差异有统计学意义(P0.05)结论糖耐量降低可对缺血性脑血管病患者的预后造成不利影响。
[Abstract]:Objective to explore and analyze the effect of impaired glucose tolerance on the prognosis of ischemic cerebrovascular disease. In January, 120 cases of ischemic cerebrovascular disease with no history of diabetes were treated. Patients with FPG7.0 mmol/L were given oral glucose tolerance test (OGTT). According to the results of the examination, the patients were divided into normal glucose group and impaired glucose tolerance group. The neurological impairment scores of the two groups were compared at the 14th week and the 18th week. Results the patients in the two groups were in the fourth week after admission. The 12th week was significantly lower than that at admission, and the normal blood glucose group was significantly lower than that of impaired glucose tolerance group. The difference was statistically significant (P 0.05). The total effective rate of normal blood glucose group was significantly higher than that of impaired glucose tolerance group. Conclusion impaired glucose tolerance may adversely affect the prognosis of patients with ischemic cerebrovascular disease.
【作者单位】：济阳县人民医院神经内科;
【分类号】：R743.31
【正文快照】： 脑血管病抑作为临床上一类具有较高发病率及病死率的疾病,主要是指患者在脑血管壁已经发生了病理性改变或血流动力学改变后,继发性的出现局限性或弥漫性脑功能障碍[1]。由于目前针对糖耐量降低对缺血性脑血管预后影响的研究较少,现我院对此展开研究,结果报道如下。1资料与方法

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