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糖尿病是引起中风高发病率和死亡率的危险因素。非糖尿病中风患者高血糖症常见,预后往往亦差。由于高血糖可代表发病前未诊断的糖尿病,或是一种应激反应。作者通过对未诊断糖尿病的中风患者的调查,评价住院的高血糖症与未诊断糖尿病之间的关系,并确定这些患者的临床过程。作者研究了确诊为中风者100例(排除了蛛网膜下腔出血)。取静脉血随机测定血糖与糖基化血红蛋白(HbAlc)浓度。记录入院后一周、一个月与3个月累积死亡率。HbAlc正常的(<6.9%)71例为第1组;HbAlc在临界范围内(6.9～7.8%)的15例为第2组;
Diabetes mellitus is a risk factor for high morbidity and mortality in stroke. Common non-diabetic stroke patients with hyperglycemia, the prognosis is often poor. Because hyperglycemia can represent undiagnosed diabetes before onset, or a stress response. By investigating stroke patients with undiagnosed diabetes, the authors evaluated the relationship between hospitalized hyperglycemia and undiagnosed diabetes and determined the clinical course in these patients. The authors studied 100 patients diagnosed as stroke (excluding subarachnoid hemorrhage). Venous blood was taken to measure blood glucose and glycosylated hemoglobin (HbAlc) concentrations. Record one week after admission, one month and three months cumulative mortality. 71 cases with normal HbAlc (<6.9%) were in group 1; 15 cases with HbAlc in the critical range (6.9 ~ 7.8%) were in group 2;