甘精胰岛素在糖尿病脑卒中康复的应用观察

Observe the use of insulin glargine in diabetic stroke rehabilitation

目的观察甘精胰岛素联合口服降糖药物在2型糖尿病脑卒中康复治疗中的疗效。方法将2型糖尿病脑卒中患者80例随机分为试验组和对照组,每组40例,2组均行常规康复治疗。试验组给予入院后胰岛素的强化治疗,7 d^10 d后甘精胰岛素联合一种降糖药物降血糖,对照组给予常规口服药物降血糖。观察2组患者治疗后4周、8周神经功能评分,比较患者康复治疗疗效。结果试验组康复效果优于对照组,尤以治疗后8周效果显著。结论甘精胰岛素在糖尿病脑卒中康复治疗中具有良好作用,值得推广。

Objective Clinical observation of insulin glargine combined with oral hypoglycemic drugsin type2 diabetes, stroke rehabilitation. Methods 80 cases of type 2 diabeticpatients with stroke,randomly divided into experimental group,control group.40 patients in each group,two groups were given conventional rehabilitation therapy. The experimental group received intensive therapy of insulinafter admission ,7-10 days after insulin glargine combined with a hypoglycemic drug reducing blood sugar.The control group was given conventional oral hypoglycemicdrugs. The two groups were observed respectively after treatment 4 weeks,8 weeks,the use of neural function score,compared with the effect of rehabilitation therapy. Results The effect of experimental group is better than the control group. Conclusion insulin glargine have a good effect on stroke rehabilitation in the treatment of diabetes.