血糖控制对高血压糖尿病合并脑出血患者的影响

Influence of Blood Glucose Control on Complications of Hypertensive Diabetes Mellitus with Cerebral Hemorrhage

目的分析血糖控制对高血压糖尿病合并脑出血患者的影响。方法选取2015年12月至2017年12月沈阳市第五人民医院收治的68例高血压糖尿病合并脑出血的患者,根据血糖控制情况将患者分为对照组(血糖控制差)和观察组(血糖控制好),每组34例。两组患者均辅以饮食治疗,禁止患者食用含糖量高以及高脂肪类食物,在此基础上观察组按时指导患者进行康复训练,加快患者的康复速度。比较两组患者空腹血糖(FPG)、日常生活活动能力量表(ADL)评分以及并发症发生情况和病死情况。结果观察组FPG低于对照组,ADL评分明显高于对照组,差异均有统计学意义(P <0.05)。观察组并发症发生率和病死率均显著低于对照组,差异均有统计学意义(P <0.05)。结论在高血压糖尿病合并脑出血患者的临床治疗中加强对患者血糖的控制,有利于提高患者的生活质量及预后效果。

Objective To analyze the eff ect of blood sugar control on patients with hypertension,diabetes mellitus and cerebral hemorrhage.Methods A total of 68 patients with hypertension,diabetes mellitus and cerebral hemorrhage who were admitted to Shenyang Fifth People's Hospital from December 2015 to December 2017 were divided into control group(poor blood sugar control)and observation group(blood sugar control)according to their blood sugar control status,with 34 cases in each group.The two groups of patients were supplemented with diet therapy,and the patients were prohibited from eating high-sugar and high-fat foods.On this basis,the observation group instructed patients to conduct rehabilitation training on time to speed up the recovery of patients.The fasting blood glucose(FPG),activities of daily living(ADL)scores,the occurrence of complications and deaths of the two groups were compared.Results The FPG of the observation group was lower than that of the control group,and the ADL score was signifi cantly higher than that of the control group,the diff erences were statistically signifi cant(P<0.05).The incidence of complications and mortality in the observation group were signifi cantly lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion Strengthening the control of blood glucose in the clinical treatment of patients with hypertension,diabetes mellitus and cerebral hemorrhage is benefi cial to improve the quality of life and prognosis of patients.