糖尿病并发脑梗死39例临床剖析.docVIP

糖尿病并发脑梗死39例临床剖析 　　【摘要】 目的 分析糖尿病并发脑梗死的临床特点，探讨其预防及治疗策略。方法 对39例糖尿病并发脑梗死患者临床相关因素（性别、年龄、病程、血糖、血脂、血尿酸、HCY、心电图、头颅CT/MRI等）和治疗效果进行回顾性分析。结果 糖尿病并发脑梗死的发病率为33.9%，其发生与年龄、病程、血糖、血脂、血尿酸、HCY控制的高低以及同时存在的其他并发症有密切关系（P＜0.05），而与性别无显著差异；糖尿病并发脑梗死以多发性梗死，并反复发生为主（占39.6% ），其次为单发性脑梗死和腔隙性脑梗死。39例中好转36例，占92.3%；死亡3例，占7.7%。结论 控制和治疗血糖、血脂、血尿酸、HCY等代谢紊乱，预防和治疗糖尿病并发症，有效的降低血液粘稠度是防治本病的关键。 　　 【关键词】 糖尿病；脑梗死；临床分析 　　 　　The analysis for the clinical features of 39 patients with diabetes mellitus complicated cerebral infarction 　　Liu Han (special wards, Shang qiu city He nan province the first of the peoples hospital,Shangqiu476100) 　　 　　 【Abstract】 Objective To analyze the clinical characteristics of patients with diabetes mellitus complicated cerebral infarction，so as to investigate the prevention of diabetes mellitus complicated cerebral infarction. Methods The related factors (sex，age，course of disease，blood sugar，blood fat，blood uric acid，HCY,ECG，skull CT/MRI) of 39 patients with diabetes mellitus complicated cerebral infarction and curative effect were analyzed retrospectively. Results The incidence of diabetes mellitus complicated cerebral infarction was 33.9%, It related with patient’s age, course of disease，blood sugar，blood fat，blood uric acid，HCY and other complications (P＜0.05)，but it was independent of patient’s sex Multiple cerebral infarctions and continuous onsets were main clinical characteristic（39.6% ），the second was single cerebral infarction and lacuna cerebral infarction. Among 39 patients 36 patient’s conditions were improved 3 patients died. Conclusions The key treatments of diabetes mellitus complicated cerebral infarction were controlling the blood sugar，blood fat，blood uric acid，HCY，treating the complications decreasing the viscosity of blood. 　　 【Key words】 Diabetes mellitus；Cerebral infarction；Clinical analysis 　　 糖尿病是心脑血管疾病发生的一个重要危险因素。大量的流行病学研究显示，糖尿病患者的心脑血管病发生率和病死率显著高于非糖尿病患者，女性绝经后更为明显。随着糖尿病患者的逐年增多，糖尿病合并脑梗死已成为临床一大课题。如何预防糖尿病合并脑梗死的发生，降低糖尿病合并脑梗死的致残率和病死率已成为临床上所面临的难题，因此，有必要加强对糖尿病合