Study on the correlation between changes in blood glucose and the prognosis of the patients with traumatic brain injury

Objective To analyze the correlation between changes of blood glucose level in patients with traumatic brain injury and prognosis.Methods A total of 112 cases with traumatic brain injury were selected from our hospital as the research object,they were divided into groups with its admission Glasgow coma score(GCS): the mild group(n = 42),the moderate group(n = 40),severe group(n = 30),fasting blood glucose were detected on first day after admis sion,third day,fifth day and seventh day.They were grouped according to the blood glucose level of first day: the fasting blood glucose 10 mmol/L group(n = 85),≥10 mmol/L group(n = 27),the outcomes were compared of two groups.Results Three groups of patients after admission glucose level was obvious negatively related to GCS score(P 0.05);Compared with moderate group and mild group,fasting blood glucose levels of severe group on the first day was significantly higher,there was significant difference(P 0.05);Each group of patients with fasting blood glucose level with the extension of treatment time decreased.The proportion of GCS 5 score in 10 mmol/L was significantly higher than that in ≥10 mmol/L group,the proportion of 1 score was significantly lower than that in ≥ 10 mmol/L group,two groups were significantly different(P 0.05).Conclusion Patients with traumatic brain injury by regular inspection of fasting blood glucose,can better understand the prognosis of the patients,which has guiding significance to the clinical treatment.