Volume 19 Issue 12
Dec.  2021
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ZHANG Tie-lin, LI Rui, WU Shu-mei. Relationship between glycosylated haemoglobin and prognosis of patients with acute pontine infarction[J]. Chinese Journal of General Practice, 2021, 19(12): 2035-2037,2087. doi: 10.16766/j.cnki.issn.1674-4152.002229
Citation: ZHANG Tie-lin, LI Rui, WU Shu-mei. Relationship between glycosylated haemoglobin and prognosis of patients with acute pontine infarction[J]. Chinese Journal of General Practice, 2021, 19(12): 2035-2037,2087. doi: 10.16766/j.cnki.issn.1674-4152.002229

Relationship between glycosylated haemoglobin and prognosis of patients with acute pontine infarction

doi: 10.16766/j.cnki.issn.1674-4152.002229
Funds:

 82001452

  • Received Date: 2021-04-13
    Available Online: 2022-03-02
  •   Objective  To investigate the relationship between glycosylated haemoglobin (HbA1c) and prognosis of patients with acute pontine infarction.  Methods  The relationship between the history of diabetes, fasting blood glucose and HbA1c after admission, and the scores of modified Rankin score (mRS) and daily life self-care ability (ADL) at 90 d follow-up in 85 patients with acute pontine infarction in Hefei Eighth People's Hospital from May 2016 to April -2018 were analysed.  Results  A significant correlation between HbA1c and prognosis (mRS < 3) was observed in patients with pontine infarction at 90-day follow-up (OR=0.234, 95% CI: 0.073-0.784, P=0.014). In addition, no significant correlation amongst HbA1c ≥ 6.1% (OR=0.404, 95% CI: 0.138-1.188, P=0.100), history of diabetes (OR=0.556, 95% CI: 0.197-1.565, P=0.266), fasting blood glucose ≥ 7.0 mmol/L (OR=0.516, 95% CI: 0.179-1.488, P=0.221) and ADL>60 was observed in patients at 90-day follow-up. HbA1c had higher AUC value (mRS < 3, AUC=0.725, 95% CI: 0.615-0.835, P=0.001; ADL>60, AUC=0.682, 95% CI: 0.556-0.808, P=0.016) than diabetes history and fasting blood glucose.  Conclusion  Compared with fasting blood glucose and diabetes history, glycosylated haemoglobin may have an advantage in evaluating the prognosis of patients with acute pontine infarction.

     

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  • [1]
    申婧, 余鹃, 梁华峰, 等. 急性动脉粥样硬化型脑梗死患者血清CXCL16水平与2型糖尿病的相关性研究[J]. 脑与神经疾病杂志, 2016, 24(7): 443-447. https://www.cnki.com.cn/Article/CJFDTOTAL-LYSJ201607012.htm
    [2]
    房硕, 王建民, 胡岩芳, 等. 后循环脑梗死患者血清HbA1c水平与血管狭窄程度、病情进展及预后的关系[J]. 山东医药, 2017, 57(6): 85-87. doi: 10.3969/j.issn.1002-266X.2017.06.030
    [3]
    NAESS H, KURTZ M, THOMASSEN L, et al. Serial NIHSS scores in patients with acute cerebral infarction[J]. Acta Neurol Scand, 2016, 133(6): 415-420. doi: 10.1111/ane.12477
    [4]
    李增新, 许娟, 郑开呈. 糖化血红蛋白在妊娠期糖尿病筛查中的价值探讨[J]. 中华全科医学, 2014, 12(12): 1993-1994. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201412040.htm
    [5]
    中华医学会神经病学分会. 中国急性缺血性脑卒中诊治指南2014[J]. 中华神经科杂志, 2015, 48(4): 246-257. doi: 10.3760/cma.j.issn.1006-7876.2015.04.002
    [6]
    GOKCAL E, NIFTALIYEV E, BARAN G, et al. Progressive deficit in isolated pontine infarction: The association with etiological subtype, lesion topography and outcome[J]. Acta Neurologica Belgica, 2017, 117(3): 649-654. doi: 10.1007/s13760-017-0827-2
    [7]
    中华医学会脑血管病学术会议. 脑卒中患者临床神经功能缺损评分标准[J]. 中华神经科杂志, 1996, 29(6): 381-383. doi: 10.3760/j.issn:1006-7876.1996.06.007
    [8]
    江丽红. 基于日常生活自理能力评估的二次细化分级护理在脑卒中康复期患者中的应用[J]. 黑龙江医学, 2018, 42(5): 500-502. doi: 10.3969/j.issn.1004-5775.2018.05.051
    [9]
    张世洪, 吴波, 谈颂. 卒中登记研究中Barthel指数和改良的Rankin量表的适用性与相关性研究[J]. 中国循证医学杂志, 2004, 4(12): 871-874. doi: 10.3969/j.issn.1672-2531.2004.12.010
    [10]
    吴江, 贾建平. 神经病学[M]. 3版. 北京: 人民卫生出版社, 2015: 171.
    [11]
    于晓濛, 贺维峰, 王宁. 糖化血红蛋白变异指数与糖尿病周围神经病变的相关性分析[J]. 中华实用诊断与治疗杂志, 2019, 33(12): 1194-1197. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201912013.htm
    [12]
    YANG N, LIN M, WANG B G, et al. Low level of low-density lipoprotein cholesterol is related with increased hemorrhagic transformation after acute ischemic cerebral infarction[J]. Eur Rev Med Pharmacol Sci, 2016, 20(4): 673-678. http://www.europeanreview.org/wp/wp-content/uploads/673-678.pdf
    [13]
    LIVINGSTONE R, BOYLE J G, PETRIE J R. How tightly controlled do fluctuations in blood glucose levels need to be to reduce the risk of developing complications in people with type 1 diabetes?[J]. Diabet Med, 2020, 37(4): 513-521. doi: 10.1111/dme.13911
    [14]
    MACHADO S, MARQUES R, NASCIMENTO E, et al. Relationship between HbA1c and capillary blood glucose self-monitoring in type 2 diabetes[J]. Rom J Intern Med, 2019, 57(2): 125-132.
    [15]
    唐妍妍, 汤永红. 糖化血红蛋白、血脂、颈动脉粥样硬化与前后循环脑梗死的相关性分析[J]. 中国实用神经疾病杂志, 2020, 23(4): 282-286. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202004002.htm
    [16]
    范翠云. 后循环脑梗死患者血清HbA1c水平与血管病变及预后的相关性[J]. 牡丹江医学院学报, 2020, 41(1): 80-82. https://www.cnki.com.cn/Article/CJFDTOTAL-MDJB202001022.htm
    [17]
    陈新, 芦云, 陈晓虹. 急性脑梗死患者血清HbA1c水平及其与病情、神经功能和预后的相关性研究[J]. 解放军医药杂志, 2017, 29(10): 68-71. doi: 10.3969/j.issn.2095-140X.2017.10.017
    [18]
    山媛, 崔小丽, 蒋锋. 不同糖化血红蛋白水平急性脑梗死患者的临床特征分析[J]. 脑与神经疾病杂志, 2019, 27(5): 314-317. https://www.cnki.com.cn/Article/CJFDTOTAL-LYSJ201905012.htm
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