BRAIN and NERVE－神経研究の進歩70巻7号

2018年07月発行

原著

経腸経管栄養を受ける急性期脳卒中患者の高血糖に対する持続血糖測定

著者： 笠倉至言¹ 森貴久¹ 中井紀嘉¹ 丹野雄平¹ 吉岡和博¹

所属機関： ¹湘南鎌倉総合病院脳卒中センター脳卒中診療科

ページ範囲：P.849 - P.855

文献概要

脳卒中急性期に経管栄養を投与すると高血糖をきたすことが多いが，血糖値の経時変化は明らかになっていない。経管栄養で高血糖になった脳卒中患者6名に持続血糖測定を行い，血糖値曲線の特徴を調べた。6名の空腹時血糖値（中央値）は125.5mg/dL，最高血糖値（中央値）は351.5mg/dL。血糖値曲線は，投与開始後ゆっくりと上昇し3〜4時間後に最高値となり，その後ゆっくり下降するものとほとんど下降しないものがあった。この特徴は糖尿病の診断とは関係なくみられた。血糖曲線を4パターンに分類した。

参考文献

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