糖尿病合并脑卒中病情及转归的探讨

Investigation of diabetes complicated with cerebral apoplexy and its prognosis.

目的 探讨糖尿病合并脑卒中病情及转归与血糖水平的关系。方法 对糖尿病合并脑卒中及非糖尿病脑卒中的发病年龄进行比较，根据入院时血糖水平将１２２ 例分为３ 组，观察其与病情及转归的关系。结果 糖尿病合并脑卒中与非糖尿病脑卒中病人５０ 岁以后发病者有明显差别，且并发脑梗死较非糖尿病多见。入院时血糖＜ １６－７ｍ ｍｏｌ／Ｌ者，脑卒中多属轻、中型，而血糖≥１６－７ｍ ｍｏｌ／Ｌ者，重症者多，病死率高。结论 糖尿病合并脑卒中临床症状的轻重及病情转归与入院时血糖水平的高低有关，若血糖≥１６－７ｍｍｏｌ／Ｌ提示脑组织损害范围较广，病情严重，易诱发酮症酸中毒或高渗性昏迷；而且是急性期预后不良的指标之一，所以。

Objective To study the severity and prognosis of diabete mellitus(DM)complicated with cerebral apoplexy and its relation to blood sugar(BS)level.Methods The onset age was compared in cerebral apoplexy with DM and without DM,at the same time,according to BS level,122 cases were divided into 3 groups,observing its relation to the severity and prognosis of the disease.Results There were significant difference between diabetes and non-diabetes with the onset age after 50,and diabetes complicated with cerebral infarction more frequently.Patients with BS<16\^7mmol/L.Cerebral apoplexy were mild and moderate,but those with BS≥16 7mmol/L were severe and had a high mortality.Conclusion The severity of clinical symptoms and prognosis of diabetes complicated with cerebral apoplexy are related to the BS level,BS≥16 7mmol/L shows wide damage of cerebral tissue and severe condition,it is easy to induce ketoacidosis or hyperosmolar coma;in addition,it is an index of bad prognosis in acute phase,so good BS control is important for prevention and treatment.