126例脑梗死合并2型糖尿病患者梗死特点及临床分析

Characteristics and Clinical Analysis of Cerebral Infarction complicated with Type 2 Diabetes Mellitus

目的分析本院脑梗死合并2型糖尿病患者梗死的病变特点及相关危险因素、疾病发生发展规律及预后情况。方法回顾性研究经本科治疗的126例患者,其中63例脑梗死合并糖尿病患者为实验组,63例脑梗死未合并糖尿病患者为对照组,对两组患者的脑梗死特点、患病相关危险因素、临床效果及预后相关进行观察并分析。结果脑梗死合并糖尿病组脑梗死类型主要是小灶性梗死,神经系统损伤为中度的患者为多数(58.73%),患者预后治愈率为39.68%;而脑梗死未合并糖尿病组脑梗死类型为腔隙性梗死,神经系统损伤以轻度为主(55.56%),患者预后治愈率为53.97%。结论脑梗死合并糖尿病患者梗死特点主要为单发或多发小灶性脑梗死、高血压、高血脂等都是诱发脑梗死合并糖尿病的危险因素,临床上常进行吸氧、降颅压、溶栓、抗血小板、维持水电解质平衡及早期康复治疗等方式对患者干预治疗,而并发糖尿病的脑梗死患者的预后效果远不及未并发糖尿病的脑梗死患者。

Objective To analyze the characteristics of infarction and related risk factors, disease occurrence and development and prognosis of patients with cerebral infarction complicated with type 2 diabetes mellitus in our hospital. Methods There is a retrospective study of 126 patients treated by our department. 63 patients with cerebral infarction and diabetes are the experimental group and 63 patients with cerebral infarction without diabetes are the control group. The characteristics of cerebral infarction and disease are related to the two groups. Risk factors, clinical effects and prognosis are observed and analyzed. Results The type of cerebral infarction in the cerebral infarction group is mainly small invasive infarction. The majority of patients with moderate neurological injury are moderate (58.73%), and the prognosis rate is 39.68%. While the type of cerebral infarction of patients with cerebral infarction is lacunar infarction, the nervous system injury was mainly mild (55.56%), and the prognosis rate of patients is 53.97%. Conclusion The infarction characteristics of patients with cerebral infarction and diabetes mellitus are mainly single or multiple focal cerebral infarction. Obesity, hypertension and hyperlipidemia are all risk factors for inducing cerebral infarction with diabetes. Clinically, oxygen, blood pressure and maintenance are often performed. Water and electrolyte balance and early rehabilitation treatment for patients with intervention, the prognosis of patients with cerebral infarction without diabetes is better than patients with cerebral infarction with diabetes.