【摘 要】目的：探讨糖尿病脑梗塞患者急性期血糖控制水平与神经功能缺损评分(NIHSS)的关系。方法：回顾性分析2005年1月～2010年1月武汉市汉口医院神经内科住院患者，根据入院后1～7天空腹血糖控制情况将患者分成3组：血糖控制正常组(Ⅰ组)；高血糖1组(Ⅱ组)；高血糖2组(Ⅲ组)，入院时及治疗两周后均行NIHSS评分(每名患者由同一名医生评分)，观察了解每组患者治疗前后神经功能缺损评分的差异。结果：1. 三组患者血胆固醇、甘油三酯、低密度脂蛋白胆固醇均不同程度升高，高密度脂蛋白胆固醇降低，P>0.05治疗前后差异无统计学意义。三组患者入院时NIHSS评分无差异，治疗后Ⅰ组、Ⅱ组二者无显著性差异，但二者均与Ⅲ组有显著性差异。治疗前后三组有效率分别为100%、87.2%、69.6%(X2=5.46 ,P<0.05)。说明三组均能改善临床症状，但Ⅰ组、Ⅱ组疗效更加显著。结论：5、糖尿病脑梗塞患者急性期应积极将血糖控制在8.4 mmol/L以内，预后尚可，大于8.4 mmol/L预后差。

    【中图分类号】R 115 【文献标识码】A 【文章编号】1004- 7484(2012)04- 0405- 02

    Objective：To investigate the acute phase of the level of blood glucose control of diabetic patients with cerebral infarction and neurological deficit scores (NIHSS) relationship Methods：Retrospective analysis in January 2005 to January 2010, Hankou, Wuhan City Hospital Department of Neurology, hospitalized patients, according to admission 1-7days of fasting blood glucose control situation patients were divided into three groups: blood sugar control normal group (Ⅰ group); high blood sugar a group (Ⅱ group); hyperglycemia group 2 (III group), the time of admission and treatment two weeks after all the line NIHSS score (per namepatients with a score of doctors), observed to understand the differences in neurological deficit scores of each group of patients before and after treatment. Results：1. Three groups of patients with blood cholesterol, triglycerides, LDL cholesterol were increased to varying degrees, the high-density lipoprotein cholesterol, P> 0.05 before and after treatment differences not statistically significant. No difference between the three groups of patients on admission NIHSS score after treatment in group Ⅰ, group Ⅱ was no significant difference between the two, but both were significant differences with group Ⅲ. Three groups before and after the treatment efficiency of 100%, respectively, 87.2%, 69.6% (X2 = 5.46, P <0.05). The three groups can improve the clinical symptoms, but the group Ⅰ, Ⅱ group efficacy is more significant. Conclusion：diabetic cerebral infarction in patients with the acute phase of positive blood glucose control in less than 8.4 mmol / L, the prognosis can still be greater than 8.4 mmol / L, the prognosis is poor. ......