摘要
目的观察2型糖尿病并发脑梗死神经功能的缺损程度及预后，探讨临床防治措施。方法选择2型糖尿病合并脑梗死患者80倒作为研究对象，按照1：1比例选择同期住院的非糖尿病脑梗死患者作为对照组，入院后均给予综合治疗措施，观察组通过口服降糖药或者注射胰岛素以及饮食控制等措施控制血糖，比较两组患者年龄、性别、神经功能的缺损程度、治疗效果等差异。结果两组患者年龄、性别比较差异均未见统计学意义，观察组神经功能的缺损程度为重型的有16例（20．00％，16／80），高于对照组的5例（6．25％，5／80）（P〈0．05）；治疗组无效10例（12．50％，10／80），高于对照组的2例（2．50％，2／80）（P〈0．05）。结论2型糖尿病合并急性脑梗死患者临床症状表现严重，且预后较差，应控制血糖在正常范围，提高生存率，改善预后。2型糖尿病平时除了严格控制血糖外，还应降低血脂、控制血压，另外给予适当的抗凝、抗血小板等。
Objective To observe the clinical effect and prognosis of cerebral infarction with type 2 diabetes mellitus, and to investigate the clinical preventive and therapeutic measures. Methods Eighty patients with type 2 diabetes mellitus combined with cerebral infarction were selected as the research ob- jects. According to 1：1, the patients with non diabetic cerebral infarction were treated as the control group. The patients were treated with oral hypoglycemic agents or insulin. Results There were no significant differences in age or sex between the two groups, the observation group with severe neurologic impairment were 16 cases （20%, 16/80）, and those in control group were 5 cases（6. 25% ,5/80）, there were significant difference between the two groups （P 〈 0. 05 ） ; Treatment invalid 10 cases （12. 50%, 10/80）, which were higher than that in control group（2. 50% ,2/80）（P 〈0. 05）. Conclusions The clinical symptoms of patients with type 2 diabetes mellitus complicated with acute cerebral infarction is serious, and the prognosis is poor. The blood glucose should be controlled in the normal range, improving the survival rate and the prognosis. Besides strict control of blood sugar, blood lipids, blood pressure, and appropriate anticoagulant, antiplatelet and other comprehensive treatment are all worthy of applieated.
出处
《中国实用医刊》
2016年第11期16-17,共2页
Chinese Journal of Practical Medicine
关键词
2型糖尿病
脑梗死
神经功能的缺损程度
防治措施
Type 2 diabetes mellitus
Cerebral infarction
Nerve function defect degree
Prevention and cure measure
