老年糖尿病并脑梗死89例临床分析

Clinical Analysis on Senile Diabetes Combined with Cerebral Infarction

目的探讨老年人糖尿病并发脑梗死的临床特点。方法对89例老年糖尿病患者,从症状、体征、梗死部位、神经功能缺损严重程度、合并症、治疗转归等方面,进行分析。结果男、女发病率相近;老年人发病率高;部位以基底节区最多,其次是皮层、皮层下。神经功能缺损程度以轻、重型为主,血糖水平对脑梗死有影响,本组合并高血压、高血脂的比率高。结论应重视对糖尿病的综合治疗,并发脑梗死时应注意控制好血糖。

Objective To discuss the characteristics of senile diabetes combined with cerebral infarction. Methods Retrospectively analysis for the clinical materials of 89 cases of such patient in symptoms, signs, location, nerve function injury, complication and recovery were analyzed retrospectively. Results The incidence was similar with sex and its high higher in senile group. The location was basal ganglion, cortex and subcortex. The nerve injury was middle and severe. The blood glucose had been affected with cerebral infarction and hypertension and hyper- lipid. Conclusion The complex treatment of diabetes should be pay much attention especially for the blood glucose.