糖尿病合并脑卒中52例临床分析

Clinical analysis of 52 cases diabetes mellitus complicated with cerebral apoplexy

目的 :探讨糖尿病合并脑卒中的病情及转归与血糖水平的关系。方法 :对糖尿病合并脑卒中及非糖尿病卒中的发病年龄、病情及预后进行比较 ,同时 ,根据血糖水平将 5 2例患者分为 3组 ,观察血糖水平及病情和转归的关系。结果 :糖尿病合并脑卒中与非糖尿病脑卒中比较 ,发病年龄提前 11a,临床症状及预后较重 ,且并发脑梗塞较非糖尿病多见。而血糖≥ 16 .7m mol/ L ,重症者多 ,病死率高。结论 :糖尿病合并脑卒中临床症状的轻重及病情转归与入院时血糖水平有关。若血糖≥ 16 .7mm ol/ L者 ,提示脑组织损害范围较广 ,病情严重 ,是急性预后不良的指标之一 ,因此 。

Objective:To sutdy the severity and prognosis of diabetes mellitus(DM) complicated with cerebral apoplexy and its relation to blood sugar(BS) level.Methods:The onset age severity prognosis were compared in cerebral apoplexy to BS level,52 cases were divided into 3 groups,observing its relation to the severity and prognosis of disease.Results:The onset age was younger 11 years,the clinical symptoms and prignosis were more severe in DM than non-DM and DM complicated with cerebral infarction more frequently.Patients with BS≥16.7mmol/L,cerebral apoplexy were svere and hand a high mortality.Conclusion:The severity of clinical symptoms and prognosis of DM complicated with cerebral apoplexy are related to BS level.BS≥16.7mmol/L shows wide damage of cerebral tissue and sever condition,it is an index of bad prognosis in acute phase,so good BS control is important for prevention and treatment.