糖尿病合并脑梗死58例临床分析

Clinical analysis of 58 patients on diabetes mellitus merges cerebral infarction

目的 探讨糖尿病与脑梗死二者之间的关系及其防治措施。方法 以脑梗死合并糖尿病 5 8例 (伴糖尿病组 )与血糖正常的脑梗死 174例 (对照组 )进行临床征象及治疗结果的对照观察 ,两组治疗措施基本相同 ,有脑水肿表现者给予脱水剂 ,血糖 >8.35mmol/L时给予降糖治疗 ,两组观察治疗时限均为起病入院后至第 30天。结果 两组CT所见 ,大片梗死 ,糖尿病组为 41.6 % ,对照组 2 0 .5 3% (P <0 .0 1) ;急性期病死率 :糖尿病组为 2 0 .6 % ,对照组 8% (P<0 .0 1)。结论 合并糖尿病的脑梗死临床征象更为复杂 ,预后较差 ,在治疗上应高度重视血糖的管理 ,以减少梗死灶周围半暗带神经细胞的凋亡 ,降低脑梗死急性期病死率。

Objectives To investigate between relationship prevention and cure measure of diabetes mellitus merges cerebral infarction.Methods To contrast and observe clinical sign and cure results of 58 patients on cerebral infarction merge diabetes mellitus(observe group) and 174 patients on orthoglycemmic cerebral infarction (contrast group),cure mrasure on both group is identical roughly,if brain swelling existing,to give 20% mannitol drip,if blood glucose>8.35mmol/L,to give lowering blood glucose cure measure,time limit of cure and observe on both group are 30 days.Results Both group CT scanning show,larger infarction:observe group 41.6%、contrast group 20.53%(P<0.01);acute period death rete:observe group 20.6%、contrast group 8% (P<0.01).Conclusions The clinical sign of cerebral infraction merge diabetes mellitus is complexer、anticipation is worse,we must pay attention to control blood glucose in clinical cure,for to reduce nerve cell death of infarction kitchen range and lower acute period death rate