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颅脑手术患者血糖和血清激素水平变化的观察
引用本文:师蔚,王芳茹,胡国瑛,杨庆余.颅脑手术患者血糖和血清激素水平变化的观察[J].西安交通大学学报(医学版),1997(1).
作者姓名:师蔚  王芳茹  胡国瑛  杨庆余
作者单位:西安第二附属医院神经外科!西安710004(师蔚,杨庆余),西安第一附属医院检验科(王芳茹),西安第一附属医院核医学科!西安710004(胡国瑛)
摘    要:对42例颅脑手术患者术前及术后3d内血糖和血清胰岛素、促生长素、皮质醇、T4及T3含量作了检测。结果表明:颅脑手术患者术后血糖和血清胰岛素、促生长素及皮质醇含量均有明显增高,而血清T4和T3含量改变不大。认为血糖含量测定可以作为估价颅脑手术引起脑损伤严重程度和患者意识障碍的客观指标,同时颅脑手术后血清胰岛素、促生长素和皮质醇水平的改变对机体糖代谢发生紊乱起重要作用。

关 键 词:颅脑手术  血糖  血清学  激素类  诊断指标

OBSERVATIONS OF CHANGES OF BLOOD GLUCOSE AND SERUM HORMONES LEVELS IN PATIENTS UNDERGOING CRANIOCEREBRAL OPERATIONS
Shi Wei,Wang Fangru,Hu Guoying,et al.OBSERVATIONS OF CHANGES OF BLOOD GLUCOSE AND SERUM HORMONES LEVELS IN PATIENTS UNDERGOING CRANIOCEREBRAL OPERATIONS[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1997(1).
Authors:Shi Wei  Wang Fangru  Hu Guoying  
Abstract:The blood glucose and serum insulin, growth hormone, cortisol, T4 as well as T3levels were measured in 42 cases undergoing craniocerebral operations before operaton and within 3days after operation. The results showed that theblood glucose and serum insulin, growth hormoneas well as cortisol levels were remarkably increased,but serum T4 and T3 levels were not obviously raisedin the patients undergoing craniocerebral operationsfollowing operation. consequently, it is consideredthat the test of the blood glucose levels can be usedas an objective index for assessing the degree of thebrain injuries and the state of consciousness in patients undergoing craniocerebral operations. Meanwhile, the changes in serum insulin, growth hormone and cortisol levels play a significant role in developing disturbance of the human body's glucosemetabolism following craniocerebral operation.
Keywords:craniocerebral operation  blood glucose  serology  hormones  diagnostic index
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