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Influence of different blood Glu cose control programs on prognosis and blood Glu cose in patients with intracerebral hemorrhage after operation together with stress hyperglycemia |
YANG Wei-jie1 LI Xiao-yue2▲ SONG Gang3 |
1.Department of Critical Care Medicine,Tangxia Hospital of Dongguan City in Guangdong Province,Dongguan 523710,China;
2.Department of Critical Care Medicine,the Second Affiliated Hospital of Guilin Medical University,Guilin 541199,China;
3.Cancer Research Center of Xiamen University,Fujian Province,Xiamen 361005,China |
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Abstract ObjectiveTo investigate influence of different blood glucose control programs on prognosis and blood glucose in patients with intracerebral hemorrhage after operation together with stress hyperglycemia.MethodsA retrospective study was conducted,and 52 patients with stress hyperglycemia after cerebral hemorrhage in our hospital from June 2015 to May 2016 were divided into group A (n=25)and group B (n=27)according to different blood glucose control programs.Group A was treated with intravenous bolus injection,and group B was treated with continuous intravenous pump.The 28 d survival rate,the Glasgow outcome score,the blood glucose compliance rate,the standard time,the frequency of blood glucose monitoring,the incidence rate of hypoglycemia,blood glucose levels and blood glucose variability indexes were compared between the two groups.ResultsThere was no significant difference in 28 d survival rate,the blood glucose compliance rate,the standard time,the incidence rate of hypoglycemia between the two groups (P>0.05).The Glasgow outcome score in group A was significantly higher than that in group B,with significant difference (P<0.05).The number of blood glucose monitoring in group A was significantly less than that in group B,with significant difference (P<0.05).The Glumaxand Gludifin group A was significantly less than that in group B,with significant difference(P<0.05).ConclusionIntravenous single bolus insulin injection can improve the prognosis of nervous function in patients with intracerebral hemorrhage after operation together with stress hyperglycemia,and can reduce the maximum blood glucose and blood glucose difference after ICU.
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