基层医院2型糖尿病合并脑梗死临床类型及预后的研究

RESEARCH ON THE CLINICAL PATTERN AND PROGNOSIS OF TYPE Ⅱ DIABETES AND CEREBRAL INFARCTION IN COMMUNITY HOSPITAL

目的探讨基层医院2型糖尿病合并脑梗死临床类型及预后的关系。方法选择100例糖尿病并发脑梗死患者(糖尿病组)与100例非糖尿病脑梗死患者(对照组)进行性别、年龄、血脂、临床类型及预后的比较。结果糖尿病组起病年龄明显低于对照组(P<0.05);两组性别差异不明显(P>0.05);糖尿病组患者血脂代谢紊乱明显;缺血性卒中类型以大动脉粥样硬化为主,其次为腔隙性梗死,与对照组比较有统计学意义(P<0.05);对照组患者中以心源性脑栓塞多见。结论基层医院2型糖尿病合并脑梗死住院患者特点是:发病年龄偏小、合并脂代谢紊乱多、以大血管病变为主、预后不良。作为基层医院应重视健康教育普及保健知识,及早发现糖尿病患者,对于糖尿病患者积极进行生活方式干预;控制血糖、血压和血脂,减少脑梗死发生,改善患者预后。

Objective To study the clinical pattern and prognosis of Type Ⅱ diabetes and cerebral infarction. Methods 100 cases of diabetes and cerebral infarction formed the diabetes group, and 100 cases of cerebral infarction formed the contrast group. The age, sex,blood lipid,clinical pattern and prognosis of the two groups were compared. Results The first attack occurred earlier in the diabetes group （ P 〈 0.05）. There existed no significant differences in sex of the two groups （ P 〉0.05）. In the diabetes group,obvious metabolic disturbance of blood lipid was found, atheromatous sclerosis of conducting arteries was the major type of ischemic stroke, and others were mainly lacunar infarctions（ P 〈0.05）. In the contrast group,cardiac cerebral embolism was the major type. Conclusion The main characteristics of Type Ⅱ diabetes and cerebral infarction consist of early attack, mostly metabolic disturbance of blood lipid and lesions of great vessels and poor prognosis. It is vital that early education of diabetes and early discovery of the disease should be done so as to control patiets＇ bloodglucose, pressure and lipid to reduce the occurrence of cerebral infarction and to improve their prognosis.