糖尿病高血压及糖尿病伴高血压患者合并脑梗死预后的关系分析.docVIP

糖尿病高血压及糖尿病伴高血压患者合并脑梗死预后的关系分析 　　【摘要】目的 探讨糖尿病、高血压、糖尿病伴高血压的脑梗死患者预后关系。方法 收集2013年10月～2014年10月收治脑梗死住院患者337例，按合并疾病分为糖尿病组112例、高血压组135例、糖尿病伴高血压组90例。分析各组患者并发脑梗死的特点及预后。结果 糖尿病组、高血压组脑梗死患者以腔隙性脑梗死为主，神经功能缺损以轻、中型为主，治疗后糖尿病（DM）组显效率分为：58.04%，HD组显效率分为：62.97%糖尿病合并高血压组在梗死类型、神经功能缺损及治疗显效率（34.44%）差异有统计学意义（P0.05）。结论 糖尿病伴高血压合并脑梗死的患者较糖尿病合并脑梗死或高血压合并脑梗死的患者预后差。 　　【关键词】糖尿病；高血压；脑梗死； 　　【中图分类号】R743.3 【文献标识码】A 　　Analysis of the relationship betweenthe prognosis of cerebral infarction with diabetes patients with hypertension complicated with hypertension and diabetes mellitus 　　NIE Yu-ping 　　（Henan yima coal group in qianqiu coal Mine Hospital，Henan Yima 472300，China） 　　【Abstract】Objective Discuss diabetes，high blood pressure， diabetes with high blood pressurepatients with cerebral infarction of the clinical characteristics and relationship with prognosis. Methods Collect from October 2008 to April 2010 were 337 patients hospitalized patients with cerebral infarction， the disease diabetes merger into group （n=112）， high blood pressure group （n=135）， diabetes with high blood pressure group （n=90）. The analysis of the characteristics of the patients developed cerebral infarction and prognosis. Results Diabetes group， high blood pressure group with cerebral infarction of lacunar cerebral infarction is given priority to， neural function defect to light， medium is given priority to， treatment significant efficiency were 58.04% and 62.97%， and no significant difference （P 0.05）； Diabetes combined with high blood pressure group in the infarction type， neural function defect and treatment significant efficiency （34.44%） with significant difference （P 0.05）. Conclusion Diabetes with high blood pressure merger of cerebral infarction patients than diabetes combined with cerebral infarction or high blood pressure with cerebral infarc-tion of the patients with poor prognosis. 　　【Key words】Diabetes； High blood pressure； Cerebral infarction 　　糖尿病、高血压是临床上常见的疾病，这两种疾病发病率较高，在老年人中容易引起动脉粥样硬化导致脑梗死的发生，所以，高血压、糖尿病易引发患