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目的:探讨单纯性空腹血糖调节受损对脑梗塞患者预后的影响。方法:随即选择脑梗塞后正常血糖患者34例,单纯性空腹血糖调节受损患者45例,糖尿病患者36例,在发病后4、12、24周用改良的Rankin量表(modifiedRankin in Scale,mRs)评定患者的病残程度。结果:单纯性空腹血糖调节受损组发病4周、12周及24周的预后不良率分别为60%、46.7%、33.3%,糖尿病组分别为67.7%、50.0%、41.6%,与正常血糖组的29.4%、17.6%、11.76%相比,差异均有统计学意义(P均小于0.05),而单纯性空腹血糖调节受损组与糖尿病组之间的差异无统计学意义。结论:伴有单纯性空腹血糖调节受损的脑梗塞患者预后不良,治疗脑梗塞的同时应积极监测和治疗空腹血糖调节受损。
Objective: To investigate the impact of simple impaired glucose regulation on the prognosis of patients with cerebral infarction. Methods: Thirty-four patients with normal blood glucose after cerebral infarction, 45 patients with simple impaired fasting glucose regulation and 36 patients with diabetes mellitus were enrolled in this study. Modified Rankin in Scale (mRs) at 4,12,24 weeks after onset ) To assess the patient’s degree of disability. Results: The rates of poor prognosis at 4 weeks, 12 weeks and 24 weeks in patients with simple impaired glucose regulation were 60%, 46.7% and 33.3%, respectively, and those in diabetes group were 67.7%, 50.0% and 41.6% (P <0.05). However, there was no significant difference between simple impaired fasting glucose regulation group and diabetes mellitus group (29.4%, 17.6%, 11.76% respectively). Conclusions: Patients with cerebral infarction with impaired fasting glucose regulation alone have poor prognosis. In the treatment of cerebral infarction, impaired fasting glucose regulation should be actively monitored and treated.