糖尿病合并脑梗死的住院血糖管理

Blood Glucose Management in Diabetes Mellitus Patients with Cerebral Infarction

目的研究糖尿病合并脑梗死的住院血糖管理。方法选择2019年1月至2019年12月医院收治的糖尿病合并脑梗死住院患者76例,随机分为对照组和观察组,每组38例。对照组采取常规管理,观察组采取强化管理。比较两组入院时和出院时的NIHSS评分情况和血糖水平情况。结果入院时,两组的NIHSS评分无显著差异(P>0.05);出院时,观察组NIHSS(3.16±1.07)分,低于对照组的(7.64±1.58)分,有显著差异(P<0.05)。入院时,两组空腹血糖、餐后2h血糖、糖化血红蛋白水平无显著差异(P>0.05);出院时,观察组空腹血糖(5.15±1.04)mmol/L、餐后2h血糖(7.65±1.43)mmol/L、糖化血红蛋白(6.49±1.23)%,分别低于对照组的(7.96±2.06)mmol/L、(11.52±2.31)mmol/L、(8.74±1.82)%,有显著差异(P<0.05)。结论对糖尿病合并脑梗死的住院患者,加强住院血糖管理,能够有效降低血糖水平,改善脑梗死情况,对患者预后恢复更为有利。

Objective To study the management of blood glucose in diabetes mellitus with cerebral infarction.Methods 76 patients with diabetes mellitus and cerebral infarction admitted to the hospital from January 2019 to December 2019 were randomly divided into control group and observation group,38 cases in each group.Routine management was adopted in the control group and strengthened management was adopted in the observation group.The NIHSS scores and blood glucose levels were compared between the two groups at admission and discharge.Results At the time of admission,there was no significant difference in NIHSS score between the two groups(P>0.05);at the time of discharge,NIHSS score of the observation group(3.16±1.07)was lower than that of the control group(7.64±1.58),with significant difference(P<0.05).There was no significant difference in fasting blood glucose,2 hours postprandial blood glucose and glycosylated hemoglobin between the two groups at admission(P>0.05);at discharge,fasting blood glucose(5.15±1.04)mmol/L,2 hours postprandial blood glucose(7.65±1.43)mmol/L and glycosylated hemoglobin(6.49±1.23)in the observation group were significantly lower than those in the control group(7.96±2.06)mmol/L,(11.52±2.31)mmol/L,and(8.74±1.82),respectively Difference(P<0.05).Conclusion For the inpatients with diabetes mellitus and cerebral infarction,strengthening the management of blood glucose in hospital can effectively reduce the level of blood glucose,improve the situation of cerebral infarction,and is more conducive to the recovery of patients’prognosis.