脑梗死合并2型糖尿病的临床特点及防治措施分析  

Analysis of Clinical Features and Prevention Measures of Cerebral Infarction Combined with Type 2 Diabetes Mellitus( T2DM)

作　　者：李英[1] 唐英琪 

机构地区：[1]沈阳市第二中医医院,辽宁沈阳110101 [2]大连医科大学附属第一医院

出　　处：《中国医学创新》2014年第34期98-100,共3页Medical Innovation of China

摘　　要：目的:探讨分析脑梗死合并2型糖尿病的临床特点并总结有效的防治措施。方法:选取2012年1月30日-2014年1月30日本院的150例脑梗死合并2型糖尿病患者为伴糖尿病组,另选取同期的150例脑梗死不合并糖尿病患者为不伴糖尿病组。给予不伴糖尿病组患者常规临床基础治疗,在此治疗基础上,给予伴糖尿病组患者相关干预措施,分析脑梗死合并2型糖尿病的临床特点并总结有效的防治措施。结果:伴糖尿病组中的高血压及心电图异常的比例显著高于不伴糖尿病组,比较差异有统计学意义(P<0.05);但意识障碍比较差异无统计学意义。伴糖尿病组的胆固醇水平、甘油三酯水平、红细胞压积显著高于不伴糖尿病组,治疗有效率80.00%高于不伴糖尿病组的50.00%,两组比较差异具有统计学意义(P<0.05)。结论:脑梗死合并2型糖尿病患者的临床特点复杂,有效的防治措施可提高临床治疗的有效率,改善患者预后,可行性高,临床患者可考虑加大推广治疗应用范围。Objective： To investigate and analyze the clinical features of cerebral infarction combined with type 2 diabetes mellitus（T2DM） and summary of effective control measures. Method： 300 patients were divided into diabetic group（150 cases） and group without diabetes（150 cases）. The group without diabetes was given routine clinical basis of treatment, on the basis of this, the diabetic group was given related interventions, the clinical features of cerebral infarction patients with type 2 diabetes mellitus（T2DM） were analyzed and the effective control measures were summarized. Result： The proportion of hypertension and ECG abnormalities of the diabetic group was significantly higher than that of the group without diabetes（P〈0.05）, but there was no significant difference in disturbance of consciousness; cholesterol levels, triglycerides level, hematocrit of the diabetic group were significantly higher than that of the group without the diabetic（P〈0.01）; treatment efficiency of the diabetic group（80.00%） was higher than the group without diabetes（50.00%）, there was significant difference between the two groups（P〈0.05）. Conclusion： Clinical characteristics of cerebral infarction in patients with type 2 diabetes are complex, effective control measures can improve the clinical treatment efficiency, and improve the prognosis of patients, which has high feasibility, clinical patients can be considered to increase the scope of application and promotional treatment.

关 键 词：脑梗死合并2型糖尿病 临床特点 防治措施 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R587.1[医药卫生—临床医学]