摘要
目的分析糖尿病伴发脑梗死的临床特点,探讨其预防及治疗策略。方法对78例糖尿病伴发脑梗死患者临床相关因素(性别、年龄、病程、血糖、血脂、血尿酸、心电图、头颅CT、脑血流图等)和治疗效果进行回顾性分析。结果糖尿病伴脑梗死的发病率为33.9%,其发生与年龄、病程、血糖、血脂、血尿酸控制的高低以及同时存在的其他并发症有密切关系(P<0.05),而与性别无关;糖尿病并发脑梗死以多发性梗死,并反复发生为主(占39.3%),其次为单发性脑梗死和腔隙性脑梗死。78例中好转71例,占91%;死亡7例,占8.9%。结论控制和治疗血糖、血尿酸、血脂等代谢紊乱,预防和治疗糖尿病并发症,有效的降低血液粘稠度是防治本病的关键。
Objective To analyze the clinical characteristics of patients with diabetes mellitus complicated cerebral infarction, as to investigate the prevention of diabetes mellitus complicated cerebral infarction. Methods The related factors （sex, age, course of disease,blood sugar,blood fat,blood uric aeid,ECG,skull CT and rheoeneephalogram） of patients with diabetes mellitus complicated cerebral infarction and curative effect were analyzed retrospectively. Results The incidence of diabetes mellitus complicated cerebral infarction was 33.9 %. It related with patient＇ s age, course of disease, blood sugar, blood fat, blood uric acid and other complications （ P〈0.05 or 0.01 ） ,but it was independent of patients＇ sex. Multiple cerebral infarctions and continuous onsets were main clinical characteristic （39.3 % ）, the second was single cerebral infarction and lacuna cerebral infarction. Among 78 patients,71 patients＇ conditions were improved,7 patients died. Conclusions The key treatments of diabetes mellitus complicated cerebral infarction were controlling the blood sugar, blood fat, blood uric acid, treating the complications, decreasing the viscosity of blood.
出处
《实用全科医学》
2006年第1期45-46,共2页
Applied Journal Of General Practice
关键词
糖尿病
脑梗死
临床分析
Diabetes mellitus
Cerebral infarction
Clinical analysis
