[1]周井铎,王旭飞,田康爱.脑出血与应激性高血糖的关系及处理[J].医学信息,2018,31(05):7-10.[doi:10.3969/j.issn.1006-1959.2018.05.003]
　ZHOU Jing-duo,WANG Xu-fei,TIAN Kang-ai.Relationship between Intracerebral Hemorrhage and Stress Hyperglycemia and its Management[J].Journal of Medical Information,2018,31(05):7-10.[doi:10.3969/j.issn.1006-1959.2018.05.003]
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脑出血与应激性高血糖的关系及处理()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年05期
页码:
7-10
栏目:
出版日期:
2018-03-01

文章信息/Info

Title:
Relationship between Intracerebral Hemorrhage and Stress Hyperglycemia and its Management
文章编号:
1006-1959（2018）05-0007-04
作者:
周井铎1; 王旭飞2; 田康爱1
1.天津市武清区中医医院，天津 301700；2.德州市十三局医院，山东 德州 253000
Author(s):
ZHOU Jing-duo1; WANG Xu-fei2; TIAN Kang-ai1
1.Tianjin Wuqing District Traditional Chinese Medicine Hospital,Tianjin 301700,China; 2.Dezhou 13 Bureau Hospital,Dezhou 253000,Shandong,China
关键词:
应激性高血糖; 脑出血; 发生机制
Keywords:
Key words：Stress hyperglycemia; Intracerebral hemorrhage; Pathogenesis
分类号:
R743.34
DOI:
10.3969/j.issn.1006-1959.2018.05.003
文献标志码:
A
摘要:
脑出血是临床常见的急重症，其发病率、致残率及死亡率均很高。脑出血后应激性高血糖发生率高，应激性高血糖明显增加脑出血患者的致死率及致残率。因此，探讨高血压脑出血与应激性高血糖的关系及应对措施尤为重要。本文对高血压脑出血后应激性高血糖的发生机制、危害以及治疗措施进行综述。
Abstract:
Abstract：Intracerebral hemorrhage(ICH)is a common acute disease with high morbidity,disability and mortality.The incidence of stress hyperglycemia is high after intracerebral hemorrhage.Stress hyperglycemia significantly increases the mortality and disability rate of patients with cerebral hemorrhage.Thus,it is particularly important to explore the relationship between hypertensive intracerebral hemorrhage and stress hyperglycemia and its countermeasures.This article reviews the mechanism,harm and treatment of stress hyperglycemia after hypertensive intracerebral hemorrhage.

参考文献/References:

[1]官念,吴碧华,刘黎明,等.脑出血病因及相关机制的研究进展[J].中华老年心脑血管病杂志,2016,18(6):670-672. [2]杨树源,张建宁.神经外科学[M].第2版.北京:人民卫生出版社,2015:1031. [3]Yeh SJ,Tang SC,Tsai LK,et al.Pathogenetical subtypes of recurrent intracerebral hemorrhage:designations by SMAH-U classification system[J].Stroke,2014,45(9):2636-2642. [4]徐令红.急性脑出血并应激性高血糖临床观察[J].河南医学高等专科学校学报,2015,27(2):162. [5]伍艳春,丁赞,张庆英,等.应激性高血糖与急性新发脑出血患者预后的相关性研究[J].中国医药,2015,10(6):819-822. [6]陈妍,刘建国,徐磊,等.空腹血糖、餐后2h血糖及糖化血红蛋白对糖尿病的诊断价值[J].郑州大学学报(医学版),2012,47(4):534-537. [7]王石坚,鞠海涛,王宏伟,等.蛛网膜下腔出血后应激性高血糖机制及其预后的关系综述[J].解放军医学院学报,2017,38(5)487-489. [8]Laird AM,Miller PR,Kilgo PD,et al.Relationship of early hyperglycemia to mortality in trauma patients[J].J Trauma,2004,56(5):1058-1062. [9]Furie K,Inzucchi SE.Diabetes mellitus insulin resistance hyperglycemia and stroke[J].Stroke,2003,34(9):2215-2220. [10]梁精,莫晓平,罗爱容,等.胰岛素泵泵入诺和锐控制脑出血后高血糖的疗效观察[J].广州医科大学学报,2015,43(4):95-97.[11]林亚新,李宏雁.急性脑卒中患者应激性高血糖的临床意义[J].黑龙江医学,2010,34(3):208-209. [12]周晓莹,侯新国,宋君,等.脑梗死后应激性高血糖对自主活动能力恢复的影响[J].山东大学学报(医学版),2012,50(5):5-9. [13]张兆波,江明庆,王世富主编.脑内出血的现代处理[M].北京:军事医学科学出版社,2009:99-100. [14]王焕宇,王宏,勾俊龙,等.脑出血后血糖异常升高的临床特点及意义[J].中国中西医结合急救杂志,2011,70(4):86-88. [15]Won SJ,Tang XN,Suh SW,et al.Hyperglycemia promotes tissue plasminogen activator-induced hemorrhage by increasing superoxide production[J].Ann Neurol,2011,70(4):583-590. [16]王祎明.脑血管病急性期应激性高血糖与预后的关系[J].临床医学,2017(6):56-57. [17]骆艳伟,王大力.脑卒中急性期血糖升高研究进展[J].河北联合大学学报,2014,16(2):172-173. [18]周锐,王建祥,沈俊,等.高渗盐水对结肠癌患者术后应激性高血糖的作用[J].内科急危重症杂志,2016,22(4):287-289. [19]戴金洪,刘飞奇.胰岛素辅助治疗急性期脑出血临床观察[J].医学临床研究,2010,27(4):698-699. [20]柳学,李志莲,何楷然.动态观察强化胰岛素与常规胰岛素治疗高血糖重症患者血清TNF-α、IL-1β、IL-6、IL-10变化及预后的影响[J].广州医科大学学报,2016,44(3):5-14. [21]李利华,刘龙清.急性脑卒中应激性高血糖的影响因素及其采用胰岛素强化治疗的效果分析[J].中国实用医药,2017,12(13):106-107. [22]张晟奕,郭怡菁.卒中后高血糖机制及其管理策略[J].中华脑血管病杂志(电子版),2013,7(3):15-18. [23]王忠斌,李嘉岐.诺和锐30R治疗口服药物继发失效2型糖尿病患者的疗效观察[J].实用糖尿病杂志,2013,10(1):29-31. [24]林桂娥,张圳锋,邱伟忠.诺和灵30R及诺和锐30R治疗2型糖尿病疗效差异分析[J].齐齐哈尔医学院学报,2014,35(7):986-987. [25]王建祥,周锐,竹梦,等.早期应用高渗盐水对急性颅脑损伤后应激性高血糖的影响[J].神经损伤与功能重建,2016,11(5):414-415. [26]张春风,葛焕琦,谢云,等.探讨实时动态血糖监测在 2 型糖尿病患者中的准确性[J].天津医药,2015,43(8):1578-1581. [27]李亚红,乔鲁军.连续实时血糖监测避免胰岛素强化治疗低血糖发生的价值[J].第二军医大学学报,2016,37(12):936-938.

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更新日期/Last Update: 2018-03-01