急性脑卒中患者糖代谢异常研究
Chinese Journal of Practical Nervous Diseases(2009)
Abstract
目的探讨急性脑卒中患者糖代谢异常的流行状况。方法将202例新发脑卒中连续病例分为已知糖尿病组和非已知糖尿病组,对所有空腹血糖(fasting plasma glucose,FPG)<7.0mmol/L的非已知糖尿病患者均行糖耐量试验(oral glucose tolerance test,OGTT)。结果急性脑卒中患者糖代谢异常的比例高达66.4%,其中单纯性负荷后高血糖(isolated postprandial hyperglycemia,IPH)为14.4%,单纯性糖耐量受损(isolated impaired glucose tolerance,I-IGT)为23.3%。若不进行OGTT试验,仅依靠检测空腹血糖,将有100%I-IGT患者和80.6%糖尿病患者被漏诊。结论急性脑卒中患者中存在普遍的糖代谢异常,糖耐量试验是及时发现I-IGT和IPH的有效方法。
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Key words
Acute stroke,OGTT,Dysglycemia
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