老年2型糖尿病合并脑梗塞病变的有关因素和特点探析.docVIP

精品论文 参考文献 老年2型糖尿病合并脑梗塞病变的有关因素和特点探析 陶恩学(山东潍坊医学院 261053) 　　【摘要】目的 研究和分析老年2型糖尿病合并脑梗塞病变的特点和相关因素，探究其护理的要点和措施，以提高其治疗的水平和质量。方法 从我附院2010年2月至2013年10月接收并治疗的老年2型糖尿病患者中随机性抽取40例进行回顾性分析和研究，并根据患者合并脑梗塞与否来进行分组，合并脑梗塞的患者作为研究组，未合并脑梗死的患者作为对照组，两组各有20例患者。结果 老年2型糖尿病合并脑梗塞病变主要的表现为脑梗塞面积大，复发率高，且病灶区域大。回归分析证明，患者产生脑梗塞症状跟进食后患者的甘油三酯、血糖浓度、收缩压、体重指数的高低等相关。结论 老年2型糖尿病合并脑梗塞病变主要变现为脑梗塞面积大，复发率高，且病灶区域大。发病的因素主要包括体重指数、血脂、血糖、血压、胰岛素血症指数高等，针对该病症临床治疗中需要加强心理护理、病情观察、饮食指导和功能训练等护理措施的开展。 　　【关键词】老年2型糖尿病 脑梗塞病变 特点 危险因素 分析 　　【中图分类号】R592 【文献标识码】A 【文章编号】1672-5085（2013）46-0136-02 　　【Abstract】 Objective: To study and analyze thecharacteristics of lesions in elderly patients with type 2diabetes complicated with cerebral infarction and related factors, key points and measures to explore the nursing, and to improve the treatment level and quality. Methods: in our hospital in 2010 February received from 2013 to October and randomness extraction treatment in elderly patients with type 2 diabetes in 40 cases were analyzed retrospectively,and according to the patients with cerebral infarction or notare grouped, combined with cerebral infarction were enrolled as the study group, not complicated with cerebral infarctionpatients as control group, two each group has 20 patients.Results: the pathological changes in elderly patients with type 2 diabetes complicated with cerebral infarction were the main area of cerebral infarction, recurrence rate is high, and the lesion region. Regression analysis shows that, in patients with cerebral infarction in patients with symptomsafter eating the triglyceride, glucose, systolic blood pressure, body weight index. Conclusion: in elderly patients with type 2 diabetes complicated with cerebral infarctionmainly into the area of cerebral infarction, recurrence rate is high, and the lesion region. The pathogenic factors includingbody mass index, blood lipid, blood glucose, blood pressure,insulin index higher, focused on strengthening psyc