糖尿病脑出血与非糖尿病脑出血的临床分析

CINICAL ANALYSIS OF DIABETIC AND NON-DIABETIC CEREBRAL HEMORRHAGE

目的探讨糖尿病脑出血与非糖尿病脑出血的临床特点和预后情况。方法对2007年1月—2010年12月收治的脑出血患者196例进行回顾性分析,其中糖尿病患者82例(研究组),非糖尿病患者114例(对照组),观察比较2组患者的临床表现、辅助检查以及患者的预后情况。结果①2组患者意识障碍、感觉障碍、高血压、偏瘫、失语及上消化道出血发生率差异有统计学意义(P<0.05),研究组明显高于对照组。②研究组患者的痊愈率、显效率明显低于对照组(P<0.05),而病死率则明显高于对照组(P<0.05)。结论糖尿病性脑出血与非糖尿病性脑出血临床表现差异有统计学意义,高血糖可能损害脑细胞能量代谢过程,影响患者预后。

Objective To investigate the clinical features and prognosis of diabetic and non - diabetic cerebral hemorrhage. Methods A total of 196 cases of patients with cerebral hemorrhage from 2007 January to 2010 December were analyzed retrospectively, and were divided into diabetic group and non- diabetic group （control group）. Clinical manifestation, auxiliary examination and prognosis were compared between the two groups. Results （1） the incidence rates of disturbance of consciousness, sensory disorders, hypertension, hemiplegia, aphasia and upper gastrointestinal bleeding in the study group were significant higher （ P 〈 0.05 ） than those of the control group. （2）The cure rate and effective rate of patients in the study group were significant lower （ P 〈 0.05 ） than those of control group, but mortality was significantly higher than that of control group （ P 〈 0.05 ）. Conclusion Significant difference in clinical manifestations existed between diabetic and non- diabetic cerebral hemorrhage, hyperglycemia may damage brain cellular energy metabolism process and influence the prognosis of patients.