Comparison of fingerstick glucose values between healthy and paralyzed side in hemiplegic patients after stroke
SUN Haiqiu1, DU Xudong2, HONG Xianchai3, YOU Junli3, CHEN Gangmei4, LU Zhongqiu5
1.Department of Otolaryngology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China; 2.Department of Quality Management, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325027, China; 3.Department of Cerebrovascular Medicine, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China; 4.Physical Examination Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China; 5.Department of Emergency, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
SUN Haiqiu,DU Xudong,HONG Xianchai, et al. Comparison of fingerstick glucose values between healthy and paralyzed side in hemiplegic patients after stroke[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2021, 51(6): 499-501,505.
Abstract：Objective: To compare and analyze the difference of blood glucose values between the healthy side and the paralyzed side in hemiplegia patients complicated with diabetes mellitus. Methods: Totally 75 hemiplegia patients complicated with diabetes mellitus from the First Affiliated Hospital of Wenzhou Medical University were enrolled in the study. The peripheral blood glucose levels of the healthy and the paralyzed sides of the ring finger were monitored by Johnson & Johnson one touch blood glucose meter. The paired t-test was used to find whether there was difference between the healthy side and the paralyzed side; at the same time, the univariate analysis method was used to analyze the influence of the patient’s characteristics (disease type, gender, age) on the difference of blood glucose value between the healthy side and the paralyzed side. On the basis of single factor analysis, multiple linear regression was used to analyze the influence of the above factors on the difference of blood glucose value between the healthy side and the paralyzed side. Results: Of 75 patients, 54 male and 21 female, with an average age of 70.67 years, 20 cases of hemiplegia were caused by cerebral hemorrhage, 43 by cerebral infarction, and 12 by cerebral hemorrhage combined with cerebral infarction. The
results of paired t-test analysis showed that there was no significant difference in blood glucose values between the healthy side and paralyzed side; univariate and multiple linear analysis showed that disease type (cerebral hemorrhage, cerebral infarction, cerebral hemorrhage combined with cerebral infarction), gender and age had no significant influence on blood glucose values between the healthy side and paralyzed side. Conclusion: There is no significant difference in blood glucose values between the healthy side and the paralyzed side in diabetic patients with hemiplegia. Disease type (cerebral hemorrhage, cerebral infarction, cerebral hemorrhage combined with cerebral infarction), gender and age have no significant influence on blood glucose values between the healthy side and the paralyzed side
参考文献：
[1] STEGMAYR B, ASPLUND K. Diabetes as a risk factor for stroke. A population perspective[J]. Diabetologia, 1995, 38(9): 1061-1068.
[2] RINKEL L A, NGUYEN T T M, GUGLIELMI V, et al. High admission glucose is associated with poor outcome after endovascular treatment for ischemic stroke[J]. Stroke, 2020, 51(11): 3215-3223.
[3] DENORME F, PORTIER I, KOSAKA Y, et al. Hyperglycemia exacerbates ischemic stroke outcome independent of platelet glucose uptake[J]. J Thromb Haemost, 2021, 19(2): 536-546.
[4] WADA S, YOSHIMURA S, INOUE M, et al. Outcome prediction in acute stroke patients by continuous glucose monitoring[J]. J Am Heart Assoc, 2018, 7(8): e008744.
[5] KRISTENSEN O H, STENAGER E, DALGAS U. Muscle strength and poststroke hemiplegia: a systematic review of muscle strength assessment and muscle strength impairment[J]. Arch Phys Med Rehabil, 2017, 98(2): 368-380.
[6] SCHWARZ P E, MUYLLE F, VALENSI P, et al. The European perspective of diabetes prevention[J]. Horm Metab Res, 2008, 40(8): 511-514.
[7] SHAW J E, SICREE R A, ZIMMET P Z. Global estimates of the prevalence of diabetes for 2010 and 2030[J]. Diabetes Res Clin Pract, 2010, 87(1): 4-14.
[8] XU Y, WANG L, HE J, et al. Prevalence and control of diabetes in Chinese adults[J]. JAMA, 2013, 310(9): 948-959.
[9] REHNI A K, LIU A, PEREZ-PINZON M A, et al. Diabetic aggravation of stroke and animal models[J]. Exp Neurol, 2017, 292: 63-79.
[10] 卫生部心血管防治中心. 中国心血管病报告2010[B]. 北京: 中国大百科全书出版社, 2011.
[11] BROADBENT E, DONKIN L, STROH J C. Illness and treatment perceptions are associated with adherence to medications, diet, and exercise in diabetic patients[J]. Diabetes Care, 2011, 34(2): 338-340.
[12] LI P A, SHAMLOO M, KATSURA K, et al. Critical values for plasma glucose in aggravating ischaemic brain damage: correlation to extracellular pH[J]. Neurobiol Dis, 1995, 2(2): 97-108.
[13] 毕慧敏, 来桂英, 蒋兰芬, 等. 快速血糖仪测定不同指端血糖值差异性研究[J]. 护理研究, 2002, 16(11): 649-650.
[14] 鄂丽丽. 不同方法检测血糖的差异性研究[J]. 皖南医学院学报, 2007, 26(2): 155-156.
[15] 周健萍. 不同消毒剂进行皮肤消毒后应用快速血糖仪测定血糖值的差异性研究[J]. 现代护理, 2007, 13(17): 1575-1576.
[16] 韩云, 丁慧萍, 沈默宇, 等. 血糖仪测量值与实验室结果差异影响因素的研究[J]. 中国实用护理杂志, 2007, 23(1): 23-24.
