摘要
目的总结探讨糖尿病性脑梗死患者的临床表现、诊治要点，分析判定治疗效果和预后。方法随机选取本院近期收治的脑梗死患者60例，分为两组，其中，非糖尿病性脑梗死患者30例，糖尿病脑梗死患者30例，比较两组患者临床症状差异。糖尿病脑梗死组在卧床休息、吸氧、脱水降颅压、血管活性药物、抗凝纤溶药物治疗的基础上。予以药物或饮食调节控制血糖，评价治疗效果和预后。结果糖尿病脑梗死患者偏瘫、失语、球麻痹等症状发生率较非糖尿病脑梗死组明显增高（P〈0．05），两组治愈率和总有效率差异有统计学意义（P〈0．05）。结论糖尿病脑梗死患者较非糖尿病脑梗死病情更为凶险，预后远不及非糖尿病脑梗死患者，在治疗脑梗死的同时应积极降糖。
Objective To summarize the clinical manifestation, diagnosis and treatment of patients with diabetic cerebral infarction, judging therapeutic effect and prognosis. Methods Sixty patients with cerebral infarction admitted into our hospital were selected and randomly divided into two groups, including non dead diabetic cerebral infarction group （30 cases）, diabetic cerebral infarction group （30 cases）, clinical symptoms of two groups were compared. Diabetic cerebral infarction group was given drug or dietary regulation of blood glucose control on basis of bed rest, oxygen inhalation, dehydration intracranial pressure, vasoactive drugs, anticoagulation and fibrinolysis treatment, therapeutic effect and prognosis were evaluated. Results In patients with diabetic cerebral infarction, hemiplegia, aphasia, bulbar paralysis and other symptoms were significantly more than non-diabetic cerebral infarction group （P 〈 0.05）, the cure rate and total effective rate of two groups compared, the difference was statistically significant （P 〈 0.05）. Conclusion Patients with diabetic cerebral infarction is more dangerous than non-diabetic cerebral infarction, but the prognosis is far less than the pulmonary diabetic cerebral infarction, actively hypoglycemic treatment should be given in the treatment of cerebral infarction.
出处
《中国当代医药》
2013年第13期49-50,共2页
China Modern Medicine
基金
江苏省卫生厅面上基金项目（项目编号：H201120）.
关键词
糖尿病
脑梗死
临床诊断
治疗
预后
Diabetes mellitus
Cerebral infarction
Diagnosis
Treatment
Prognosis
