Study Of Correlation Between The Level Of The Serum Glucose On Admission And The Prognosis Of Patients Of Acute Cerebral Hemorrhage In The Basal Ganglia

ObjectiveTo study the correlation of the level of the serum glucose and the short-term prognosis of patients of acute cerebral hemorrhage in the basal ganglia.Methods132 patients of acute cerebral hemorrhage in the basal ganglia were involved in this retrospective analysis.According to their serum glucose levels on admission with or without diabetes history,they were divided into three groups:normal serum glucose group(40 patients),hyperglycemia with the confirmed diabetes diagnosis group(42patients)and hyperglycemia without the confirmed diabetes diagnosis group(50patients).The serum glucose level,the state of consciousness(Glasgow Coma Scale,GCS),the neurological deficit(National Institute of Health stroke scale),the mean volume of the hematoma,the incidence of hemorrhage broken into ventricles,the rate of ventilator application after operation and the complication incidences during 30days after admission and the outcome(Glasgow Outcome Scale;National Institute of Health stroke scale;Modified Rankin Scale;Modified Barthel Index)were all recorded.The ratio of the aforementioned results in each group and the correlation between the levels of the serum glucose on admission and the short-term-prognosis in each group were all analyzed using?~2 test(P<0.05 indicates significant difference).ResultsThere were significant differences in the level of serum glucose,GCS,average hematoma volume,the incidence of hemorrhage broken into ventricles and the rate of postoperative ventilator applications in each group(P<0.05).The group of hyperglycemia with the confirmed diabetes diagnosis had the longest term of ventilator application(P<0.05),biggest incidence of the postoperative pulmonary infection,poor neurological improvement and upper gastrointestinal bleeding and renal failure when compared with the other groups(P<0.05).ConclusionThe serum glucose level of patients with acute cerebral hemorrhage in the basal ganglia is correlated with the severity of the patients.The patients of hyperglycemia with the confirmed diabetes has the worst mental status and the worst30-day-prognosis.Diabetes might play the key role in the short-term-prognosis of cerebral hemorrhage in the basal ganglia.