糖尿病对脑梗塞发病影响的研究

Study on the Effect of Diabetes on the Occurrence of Cerebral Infarction

目的研究探讨糖尿病对脑梗塞发病的影响。方法选取该院收治的脑梗塞患者72例作为研究对象,并按照其是否合并有糖尿病将其分为两组,糖尿病合并脑梗塞患者40例,未合并糖尿病的脑梗塞患者32例,分别对两组患者的脑梗塞病情轻重程度、梗塞灶特点以及预后改善情况等进行分析和比较,同时单独对糖尿病合并脑梗塞组的40例患者进行血糖分析,观察其血糖值与脑梗塞病情轻重程度之间的相互关系。结果比较糖尿病合并脑梗塞组患者与非糖尿病合并脑梗塞组患者的梗塞灶特点可见,糖尿病组患者大梗塞灶、多发灶的比例显著高于非糖尿病组,而对两组患者脑梗塞病情轻重程度进行比较,则糖尿病组患者中,中度和重度梗死的患者比例显著高于非糖尿病组。预后改善的比较,糖尿病组无效或者恶化的比例高,各项指标的比较均差异有统计学意义,P<0.05。单独对糖尿病合并脑梗塞组的40例患者进行血糖分析,可见,糖尿病患者的空腹血糖值与脑梗塞病情轻重程度呈正相关,即空腹血糖值越高,则脑梗塞病情越严重。结论糖尿病合并脑梗塞的患者相较于非糖尿病脑梗塞患者,病情严重,预后差,且病情的严重程度与血糖值的升高呈正相关,因而在进行脑梗塞治疗的过程中也要给予积极的降糖、降脂治疗,病情稳定之后也需要继续维持血糖、血脂等水平在正常范围内。

Objective To study the influence of diabetes mellitus on the occurrence of cerebral infarction. Methods in our hospital in patients with cerebral infarction and 72 cases as the research object, according to its whether complicated with diabetes will be divided into two groups, 40 cases of patients with diabetes complicated with cerebral infarction, 32 cases complicated with cerebral infarction patients without diabetes, respectively, the condition of cerebral infarction patients in the two group, the severity of infarction focus features and prognosis to improve the situation are analyzed and compared, and at the same time separately on 40 patients with diabetes and cerebral infarction group patients blood glucose analysis, the relationship between blood glucose levels and observe the severity of cerebral infarction. Results comparison of characteristics of diabetes complicated with cerebral infarction infarction patients with non diabetes complicated with cerebral infarction group were visible, diabetes group were large infarction, multiple focal ratio was significantly higher than that in non diabetes mellitus group, and to compare the two groups of patients with cerebral infarction severity, the diabetic patients, moderate and severe infarction the proportion of patients was significantly higher than that in non-diabetic group. Comparison of improving the prognosis of the diabetic group is invalid or deteriorated, a high proportion of comparison, there were significant differences between the indexes, P〈0.05.Separately on 40 patients with diabetes and cerebral infarction group patients blood glucose analysis, visible, patients with diabetes fasting blood glucose value is associated with the severity of cerebral infarction was positively, namely the fasting blood glucose value is high, then the severity of cerebral infarction is more serious. Conclusiondiabetes complicated with cerebral infarction patients compared to non diabetic cerebral infarction patients, severity, prognosis is poor, the severity of disease and blood glucose value increased and was positively related, thus in the process of cerebral infarction treatment should also give hypoglycemic, lipid-lowering therapy positive, stable condition after also need to continue to maintain blood glucose, blood lipid level in the normal range.