Relationship Between the Change of Stress Blood Glucose Level and GOS Score in Patients with Cerebral Hemorrhage Undergoing Surgery
Objective:To investigate the change of stress blood glucose level in patients with cerebral hemorrhage undergoing surgery,and analyze the correlation between the level and the prognosis of patients.Methods:60 patients with cerebral hemorrhage who underwent surgical treatment in the hospital from March 2017 to March 2022 were selected as the study objects,and they were divided into hyperglycemia group(n=25)and normal glucose group(n=35)according to the preoperative blood glucose level.The changes of disease severity[APACHE Ⅱ]and consciousness disorder[Glasgow Coma Scale(GCS)]of patients in the two groups before and after surgery were compared.The difference of prognosis[Glasgow Outcome Scale(G0S)]and adverse events(rebleeding,infection and death)between the two groups were observed.Results:After surgery,the APACHE Ⅱ score in both groups was significantly lower than that before surgery,and the APACHE Ⅱ score in normal blood glucose group was significantly lower than high blood glucose group,with statistical significance(t=2.949,P＜0.05).GCS scores in both groups were significantly higher than before surgery,and GCS scores in normal blood glucose group were significantly higher than high blood glucose group,the difference was statistically significant(t=2.720,P＜0.05).The prognosis effect of normal blood glucose group was significantly higher than high blood glucose group,and the difference was statistically significant(Z=5.306,P＜0.05).There was no significant difference in the incidence of adverse events between the two groups(x2=0.116,P＞0.05).Conclusion:There is positive correlation between the change of stress blood glucose and GOS score in patients with cerebral hemorrhage undergoing surgery.The higher the stress blood glucose level is,the more the disease severity and the worse the prognosis is.
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