脑挫裂伤患者早期血糖升高的临床意义

【摘要】　　目的探讨脑挫裂伤患者早期血糖改变及其临床意义方法68例脑挫裂伤患者，入院时行gcs评分,分为重型脑挫裂伤组（gcs3～8分）、中型脑挫裂伤组（gcs9～12分）和轻型脑挫裂伤组（gcs13～15分）；住院治疗2周时进行早期预后评分（cos评分），分为死亡或植物生存组（gos1～2分）、残疾组（gos3～4分）和良好组（gos5分）。入院时测定血糖，将其测定值进行对比、分析。结果血糖均值对比：重型组、中型组与轻型组两两对比均值有显著性差异（p<0.01）；死亡或植物生存组、残疾组与良好组两两对比均值差异有显著性差异（p<0.01）。结论脑挫裂伤患者急性期血糖升高；血糖升高程度与与脑挫裂伤严重程度及预后有关，脑挫裂伤愈严重，gcs评分越低，入院时血糖含量越高，其预后也越差，gos评分越低。早期检查血糖可作为伤情及预后判断指标。

【关键词】脑挫裂伤血糖预后

　　【abstract】objectivetoexplorethechangeofbloodsugeratearlystageinpatintsofcontusionandlacerationofbrainanditsclinicalsignificance.methods68casesofcontusionandlacerationofbrainweredividedintoseveregroup（gcs3-8）、mediangroup（gcs9-12）andslightgroup（gcs13-15）；theyhadcossocreforprognosis2weeksaftertreatment,thentheyweredividedintodeadorvegetativebeing（gos1-2）、diablitygroup（gos3-4）andwellrecoveredgroup（gos5）.bloodsugerwasmeasuredonadmission,theresultswerecompared.resultsthecomparisonofaveragevalueofbloodsugerofdifferentgroupsshowed:thedifferencebetweenthethreegroupshadstatisticalsignificance（p<0.01）.conclusionsatacutestage,thebloodsugerrisesinpatintsofcontusionandlacerationofbrain;theleveloftheriseiscorrelatedwiththeseverityofinjuryandprognosis,themoreseverethecontusionandlacerationofbrainis,thelowerthegcsscoreis,andthebloodsugerishigheronadmission,theworsetheprognosiswillbe,andthelowerthegosscorewillbe.sothebloodsugaratearlystageofcontusionandlacerationofbraincouldbeahelpfulindexforjudgmentoftraumaticconditionandprognosis.

　　【keywords】contusionandlacerationofbrainbloodsugarprognosis