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 Wysłany: Sob 1:19, 19 Mar 2011 Temat postu: UGG stivali Blood glucose levels after acute cereb |
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Blood glucose levels after acute cerebrovascular disease increase the impact on the prognosis
Deformation during delivery of fetal head in order to increase opportunities for dystocia. At the same time fetal intracranial hemorrhage and maternal birth canal injury,[link widoczny dla zalogowanych], the chance of postpartum hemorrhage increased. Planned birth, when the aging of the placenta has not yet actively. More sensitive to oxytocin induction of labor on the high success rate, and greatly reduced the rate of dystocia,[link widoczny dla zalogowanych], postpartum hemorrhage, neonatal morbidity and mortality. Therefore, plans to take delivery can minimize the incidence of prolonged pregnancy levels. This will improve the viability of newborn and quality of life is important. Received: 2007 A o6-12 with acute cerebrovascular disease blood glucose levels on the prognosis of applications Lin Fang (Jintan Yao Tong Hospital Medicine, Jintan,[link widoczny dla zalogowanych], Jiangsu 213213) Article ID :1009 -5519 (2007) 20-3090-- 01 Key words: R5 Document code: B acute cerebral vascular disease (ACVD) refers to high blood sugar after the non-diabetic patients after short-term in ACVD high blood glucose. And after ACVD hyperglycemia in patients with cerebrovascular disease mortality, disability and rehabilitation process is closely related to the degree, has attracted clinical attention. This. My hospital from 2005 年 January 1 January 2007 94 patients with AVCD and blood glucose levels in patients with early prognosis to make a retrospective analysis. 1 Data and methods 1.1 General information: who meet the following conditions for analysis: (1) All cases of 1995 Fourth National Cerebrovascular Disease Conference _11 established diagnostic criteria and confirmed by brain CT; (2) cerebrovascular disease the day after the fasting blood glucose pumping; (3) to exclude diabetes. Comply with the above three indices, 94 patients, male 63 cases and 31 females. Aged 21-80 years (mean 61.09 +9.92) years. 1.2 Methods: All cases after onset of fasting blood drawn the next morning, blood glucose using glucose oxidase method. Normal blood glucose reference value :3.9-6 .11311110 I a few. According to the first blood glucose level is divided into: normal blood sugar group: 3,[link widoczny dla zalogowanych],961 mmoL / L; blood glucose group:> 6.2mmoIfl_. . According lesions were divided into cerebral hemorrhage and cerebral infarction. 1.3 Statistical Methods: Comparison of the rate of Nx test. 2 results (see Table 1,[link widoczny dla zalogowanych],2) Table 1 cerebrovascular blood sugar after the relationship with the lesions of acute cerebrovascular disease in Table 2, after the relationship between hyperglycemia and mortality (cases) Note: The mortality rate compared two groups of x37. 51, P <O. 005, the difference was significant. 3 response after the discussion 3.1ACVD high blood sugar to brain hemorrhage more common. Cerebral hemorrhage in this group 57 patients, blood sugar, 28 cases (49.1%). 37 patients with cerebral infarction, elevated blood glucose l2 cases (31.9%). The incidence of hyperglycemia was significantly higher than in the ischemia group bleeding. 3.2ACVD elevated blood glucose levels in early disease who have a negative impact on prognosis. Findings. ACVD disease measured after 2 days of fasting plasma glucose in the death group was significantly higher than the survival group. While patients with elevated blood glucose levels severe neurological deficits, complications, mortality rates were also significantly increased its turn. Our data found that, ACVD patients after the onset of elevated blood glucose level was significantly higher than normal mortality rate of glucose group. That after the illness ACVD elevated blood sugar, increase the brain tissue damage, developing into a fatal cerebral edema or herniation; the same blood sugar to increase infarct size in patients with cerebral infarction, mortality. ACVD patients revealed blood glucose levels early prognosis dangerous. Therefore, the reaction of high blood sugar can be used as a valuable acute cerebrovascular disease prognosis indicators ~. ACVD patients should be routinely recommended for early detection of blood glucose. 3.3ACVD causes elevated blood sugar is not very clear, is due to stress caused by high blood sugar reactions or acute cerebrovascular disease activity after insulin resistance caused by stress hormones. Is this high blood sugar and insulin resistance 131, are still controversial. However, close monitoring and active control of blood pressure changes after acute cerebrovascular disease blood glucose levels. Will help to reduce mortality in patients with acute cerebrovascular disease and disability, thereby improving the prognosis.
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