Clinical Analysis On The Blood Sugar And The Stress Digestive Tract Hemorrhage After Acute Severe Head Injury

Objective:To investigate the change of human blood sugar after acute severe head injury and the relation with the stress digestive tract hemorrhage. To offer the academic basis to prevent the stress digestive tract hemorrhage in clinic. Method:The blood sugar was measured in 30 patients with acute severe head injury(GCSS) in the emergency department(BSO),the 1st day(BSl),the 3rd day(BS3),the 5th day(BS5),the 7th day(BSV) and the 10th day(BSlO) after injury. The situation on digestive tract and the prognosi were observed. Then:(DThe patients were devided into 3 groups. The patients whose GCS was 3 or 4 as group 1,whose GCS was 5 or 6 as group 2 and whose GCSwas 7 or 8 as group 3. Make a t-test and a correlative analysis between the BSO and the groups.(2)The patients were devided into 2 groups. The patients with the stress digestive tract hemorrhage as hemorrhage group and the patients without the stress digestive tract hemorrhage as non-hemorrhage group. Compare the BSO and the BS3 between groups with t-test.(3)Compare the differece of GCS groups between the hemorrhage group and the non-hemorrhage group with Mann- Whitney Test.(4)Use the Logistic Regression method to analyze the effect of the BSO and the age against the stress digestive tract hemorrhage.(5)Compare the differece of prognosi between the hemorrhage group and the non-hemorrhage group with Mann- Whitney Test.(6)Use the crosstabs to analyze the effect of the use of H2 receptor antagonist previously against the digestive tract hemorrhage.(7)Make a scatter with the mean of the blood sugar to observe the trend of the blood sugar after injury. Result:(DThe BSO is negative correlation with the GCS.(2)The BSO and the BS3 are significant between the hemorrhage group and the non-hemorrhage group.(3)The GCS is significant between the hemorrhage group and the non-hemorrhage group.(4)The BSO and the age are the danger factors of the stress digestive tract hemorrhage.(5)The prognosi of the hemorrhage group is worse than that of the non-hemorrhage group.(6)Using H2 receptor antagonist previously is not significant to the stress digestive tract hemorrhage.(7)The value of the blood sugar raised rapidly after injury and reached the peak at the 3rd day, then it descended gently and reached the normal value at the 1 0th day. Conclusion:The value of the blood can be the marker to evaluate the patient's condition after acute severe head injury. It raises as the condition gets worse. It is important to mornitor the value of the blood sugar for evaluating the prognosi and the state of illness. The BSO and the age are the danger factors of the stress digestive tract hemorrhage. It is useless to use the H2 receptor antagonist previously for the stress digestive tract hemorrhage.