糖尿病合并脑梗塞的临床特点及预后相关性  

Clinical Features of Diabetes Combined with Cerebral Infraction and Prognosis Correlation

作　　者：黄润霞[1] 刘军贤[1] 孟令涉 HUANG Run-xia;LIU Jun-xian;MENG Ling-she(Department of Neurology,Baoding Third Central Hospital,Baoding,Hebei Province,071000 China)

机构地区：[1]保定市第三中心医院神经内科,河北保定071000

出　　处：《糖尿病新世界》2019年第1期44-45,共2页Diabetes New World Magazine

摘　　要：目的对2型糖尿病合并脑梗塞的临床特点和预后相关性进行探讨,为进一步治疗提供有效依据。方法选择该院2017年1—12月收治的糖尿病合并脑梗塞患者100例成立实验组,选择同期单纯脑梗塞患者100例成立常规组,观察并分析两组患者影像资料、治疗、临床特点、预后情况。结果实验组进展性脑梗塞比例45.0%,显著高于常规组的24.0%(P<0.05)。实验组多发性脑梗塞比例14.0%,显著高于常规组的9.0%(P<0.05)。实验组预后不良反应23.0%,显著高常规组的13.0%(P<0.05)。实验组患者在梗塞多发性、病情进展、预后情况方面和常规组对比差异有统计学意义(P<0.05)。结论相对于单纯脑梗塞患者,糖尿病合并脑梗塞患者病情进展快、病情较重、致残率更高,急性心脑血管疾病的重要独立危险因素之一就是糖尿病,临床中治疗脑梗塞患者时,需要严格控制患者血糖水平,使其处于相对稳定范围内。另外,脑梗塞患者治疗中,还需进行降低血液粘稠度、高脂血症、控制血压等治疗,以有效改善患者预后,促进患者康复。Objective To study the clinical features of diabetes combined with cerebral infraction and prognosis correlation thus providing effective reference for the further treatment.Methods 100 cases of patients with diabetes combined with cerebral infraction admitted and treated in our hospital from January to December 2017 were selected as the observation group,while 100 cases with simple cerebral infraction were selected as the routine group,and the imaging data,treatment,clinical features and prognosis were observed and analyzed.Results The ratio of progressive cerebral infraction in the experimental group was obviously higher than that in the routine group 45.0%vs 24.0%(P<0.05),and the ratio of multiple cerebral infarction in the experimental group was obviously higher than that in the routine group 14.0%vs 9.0%(P<0.05),and the prognosis adverse reactions in the experimental group was obviously higher than that in the routine group 23.0%vs 13.0%(P<0.05),and the differences in the multiple infarction,progression and prognosis between the two groups were statistically significant(P<0.05).Conclusion The disease of patients with diabetes combined with cerebral infraction is faster and severer than the patients with simple cerebral infraction,and diabetes is one of the major independent risk factors of acute cardiovascular diseases,and we should strictly control the blood glucose level in treatment of patients with cerebral infraction,and make it at a relatively steady level.Besides,we also should reduce the blood viscosity and hyperlipidemia and control the blood glucose in order to effectively improve the prognosis and promote the rehabilitation of patients.

关 键 词：脑梗塞 糖尿病 临床特点 预后 

分 类 号：R587.1[医药卫生—内分泌]