糖尿病、高血压及糖尿病伴高血压患者合并脑梗死特点及与预后关系

目的探讨糖尿病、高血压、糖尿病伴高血压的脑梗死患者临床特点及与预后关系。方法收集2008年10月~2010年4月收治的脑梗死住院患者337例,按合并疾病分为糖尿病组（112例）、高血压组（135例）、糖尿病伴高血压组（90例）。分析各组患者并发脑梗死的特点及预后。结果糖尿病组、高血压组脑梗死以腔隙性脑梗死为主,神经功能缺损以轻、中型为主,治疗显效率分别为58.04%及62.97%,差异无显著性（P〉0.05）;糖尿病合并高血压组在梗死类型、神经功能缺损及治疗显效率（34.44%）方面有显著性差异（P〈0.05）。结论糖尿病伴高血压合并脑梗死的患者较糖尿病合并脑梗死或高血压合并脑梗死的患者预后差。

Objective Discuss diabetes, high blood pressure, diabetes with high blood pressure patients with cerebral infarction of the clinical characteristics and relationship with prognosis. Methods Collect from October 2008 to April 2010 were 337 patients hospitalized patients with cerebral infarction, the disease diabetes merger into group （n=112）, high blood pressure group （n=135）, diabetes with high blood pressure group （n=90）. The analysis of the characteristics of the patients developed cerebral infarction and prognosis. Results Diabetes group, high blood pressure group with cerebral infarction of lacunar cerebral infarction is given priority to, neural function defect to light, medium is given priority to, treatment significant efficiency were 58.04% and 62.97%, and no significant difference （P 〉 0.05）; Diabetes combined with high blood pressure group in the infarction type, neural function defect and treatment significant efficiency （34.44%） with significant difference （P 〈 0.05）. Conclusion Diabetes with high blood pressure merger of cerebral infarction patients than diabetes combined with cerebral infarction or high blood pressure with cerebral infarc- tion of the patients with poor prognosis.