糖尿病伴脑梗死32例临床分析  

Clinical Analysis on 32 Cases of Diabetes Combined with Cerebral Infarction

作　　者：叶恒泰[1] 杜艳华[1] 彭金兰[1] 

机构地区：[1]华中科技大学同济医学院附属普爱医院,武汉430033

出　　处：《中国药师》2008年第4期443-444,共2页China Pharmacist

摘　　要：目的:探讨糖尿病伴发脑梗死与高血糖状态所持续时间及临床预后的关系。方法:对32例糖尿病伴脑梗死(DCI)患者进行血糖浓度监测,并分析其与临床预后关系。结果:32例DCI患者CT以中小梗死多见。表现为小病灶、多病变的特点。梗死灶主要见于基底节内囊区,直径<20 mm者28例,占87.5%;2个以上病灶24例,占75.0%;两次发病以上者8例占25.0%。结论:DCI应早期有效控制血糖,并对脑梗死形成的其他危险因素予以治疗,有利于改善DCI病人预后。Objective： To investigate the relationship between the time of hyperglycemia and clinical prognosis in patients with diabetes combined with cerebral infarction（DCI） . Method： The blood glucose concentration in 32 patients of diabetes with cerebral infarction were detected, and the possible relationship with clinical prognosis were anlayzed. Result： The infarcted lesion of DCI in CT displayed small and multiple, and majorly occurred in internal capsule of cerebral basal ganglia, diameter of infarcted lesions 〈 20 mm were 28 cases（87.5% ） , multilesions were 24 cases（75.0% ） , and recrurrence was 8 cases（25.0% ）. Conclusion： The patients of DCI must control the blood level of glucose in early stage and treat the other risk factors of DCL It is benefit to improve the prognosis of DCI.

关 键 词：糖尿病 脑梗死 预后 

分 类 号：R587.2[医药卫生—内分泌]