Analysis on Blood Glucose,Creatinine Changes and Outcomes of Craniocerebral Trauma
LI Hui
CAI Zhong-lin
LIANG Zhong-zhen
MA Li
XU Qian
SUN Jian-jun
ZHOU Jie
Abstract:Objective To investigate changes of blood glucose,serum creatinine levels and outcomes of craniocerebral trauma patients.Methods Seventy-one craniocerebral trauma patients from October 2014 to October 2015 were retrospectively analyzed and divided into mild,moderate and severe group according to Glasgow coma scale (GCS).The blood glucose and serum creatinine levels were determined on 1st,3rd,7th,14th and 30th day,and outcomes after 1 year were evaluated by Glasgow outcome scale (GOS).Results The blood glucose levels in three groups on 1st day after trauma increased,blood glucose levels of severe group were significantly higher than those of mild and moderate groups (P<0.05),and then blood glucose levels in three groups gradually decreased.The serum creatinine levels in three groups on 1st,3rd and 7th day increased gradually,then decreased on 14th and 30th day.The serum creatinine levels of severe group on 3rd and 7th day were significantly higher than those of mild and moderate groups (P<0.05).The outcomes of all patients were evaluated:2 cases of death,4 cases of severe disability,1 case of moderate disability and 1 case of good recovery in severe group,2 cases of severe disability,36 cases of moderate disability and 2 cases of good recovery in moderate group,3 cases of moderate disability and 20 cases of good recovery in mild group.Conclusion The relation between blood glucose,serum creatinine levels and GCS scores after craniocerebral trauma is obvious.The higher blood glucose and serum creatinine levels,the lower GCS scores and the more serious illness.Meanwhile the lower GCS scores,the worse outcomes.
Keywords:Craniocerebral traumaBlood glucoseSerum creatininePrognosis
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 297-299,304 )
