关键词 脑卒中；血糖；尿素；肌酐

    摘要 目的 探讨脑卒中患者血糖、尿素、肌酐水平变化对病情及预后的影响。方法 以2000年9月—2005年9月在本院确诊，既往无糖尿病及肾病病史的脑卒中患者156例作为观察对象，根据血糖水平分为高血糖组和非高血糖组，比较二组血糖、尿素、肌酐水平变化与临床关系。结果 脑卒中患者血糖、尿素、肌酐水平明显升高，且与病情严重程度及预后相关，血糖、尿素、肌酐水平明显增高者预后差。结论 早期检测患者血糖、尿素、肌酐水平的变化,对监测病情变化及判断预后有重要价值。

    CORRELATION OF PROGNOSIS WITH BLOOD SUGAR,UREA AND CREATININE LEVELS IN PATIENTS WITH ACUTE CEREBRAL STROKE

    Zhu Wanshui,Luo Cheng,Zhang Jizhi.

    Tangxia people's hospital of Dognguan city,Dongguan 523710,China

    Key words cerebral stroke； blood sugar； blood urea； blood creatinine

    Abstract Objective To discuss the changes of blood sugar, urea and creatinine levels in patients with acute cerebral apoplexy and their influence on prognosis. Methods Based on the clinical data of 156 patients with acute cerebral apoplexy exclude diabetes and kidney disease history from September,2000 to September 2005. We divided the patients into two groups, hyperglycemia group and hypoglycemia respectively, compared the relation of clinical manifestation to changes of blood sugar, urea and creatinine levels. Results Blood sugar, urea and creatinine levels in patients with cerebral stroke were significantly increased, and which was significantly related with clinical condition and prognosis.The results showed that the higher blood sugar, urea and creatinine level were, the worse the prognosis was. Conclusion Early detection of blood sugar, urea and creatinine has important value for monitoring the changes of patients' clinical conditions and judging prognosis. ......