血糖水平对脑梗塞预后神经功能与生命质量的影响分析

The effects analysis of blood sugar for recovery of neurological function prognosis and quality of life acute cerebral infarction

目的:评估血糖水平对脑梗塞预后神经功能与生命质量的影响,为脑梗塞早期预防与治疗提供理论依据。方法:脑梗塞患者200例合并有糖尿病60例(观察组)与非糖尿病患者140例(对照组)。观察两组在治疗前后的NIHSS评分,同时观察治疗后预后疗效与生命质量。结果:治疗后两组NIHSS评分都有明显下降(P<0.05),但是观察组的评分明显高于对照组(P<0.05);治疗后对照组有效率明显高于观察组(P<0.05);治疗后两组生活质量评分各个项目比较差异均有统计学意义(P<0.05)。结论:糖尿病可导致脑梗塞患者预后不良,神经功能恢复慢,对生活质量也有一定的影响,积极预防和控制高血糖是预防脑梗塞的有力措施之一。

Objective To evaluate the effects of blood sugar for recovery of neurological function prognosis and quality of life acute cerebral infarction for providing a theoretical basis for prevention and treatment of early cerebral infarction. Methods 200 cerebral infarction patients with 60 diabetes cases （the observation group） and 140 patients of non-diabetic （the control group）. NIHSS scores were observed before and after treatment, while observed the prognosis efficacy and quality of life. Results After treatment, the NIHSS score of the two groups were decreased significantly （P〈0.05）, but the score of the observation group was significantly higher than that in the control group （P〈0.05）; After treatment, the control group＇s prognosis was significantly higher than the observation group （P〈0.05）; the quality of life scores of the two groups after the treatment had statistically significant difference （P〈0.05）. Conclusion Diabetes can lead to poor prognosis of cerebral infarction, slow recovery of neurological function, also have a certain impact on quality of life, and actively prevent ind control high blood sugar is one of the strong measures for the prevention of cerebral infarction.