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糖尿病合并急性脑血管病临床分析 被引量:6

Clinical analysis of diabetes mellitus complicated with acute cerebrovascular disease
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摘要 目的探讨糖尿病合并急性脑血管病病情及转归与血糖的关系。方法对糖尿病合并脑血管病及非糖尿病合并脑血管病的发病年龄进行比较,根据入院时血糖水平分为3组,观察其与病情及转归的关系。结果糖尿病合并脑血管病与非糖尿病合并脑血管病病人50岁以上发病者有明显差别(P<0.05),及并发脑梗塞多见。入院时血糖≥16.7mmol/L,重症者多,病死率高于其他两组(P<0.05)。结论糖尿病合并脑血管病病情的轻重及病情转归与血糖水平高低有关,血糖≥16.7mmol/L提示脑组织损害范围大,病情严重,是急性期预后不良的指标之一,故控制好血糖是预防及治疗的关键。 Objective To study the severity and prognosis of diabetes mellitus (DM) complicated with Acute cerebrovascular disease and its relation to blood sugar level. Methods The onset age was compared in cerebrovascular disease with DM and without DM, at the same time ,according to blood sugar level, were divided into 3 groups, observed its relation to the severity and prognosis of the disease. Results There were significant difference between diabetes and non- diabetes with the onset age over 50, and diabetes complicated with cerebral infarction more frequently than non- diabetes. Patients with BS ≥ 16.7 mmol/L were severe and had a high mortality. Conclusion The severity of clinical symptoms and prognosis of diabetes complicated with cerebrovascular are related to the blood sugar level, BS ≥ 16.7 mmol/L show wide damage of cerebral tissue and severe condition; it is an index of bad prognosis in acute phase, so good blood sugar control is important for prevention and treatment.
作者 丘敏 刘日新
出处 《中国现代医药杂志》 2006年第2期3-5,共3页 Modern Medicine Journal of China
关键词 糖尿病 脑血管病 转归 合并症 Diabetes mellitus Cerebrovascular disease Prognosis
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  • 1对脑卒中临床研究工作的建议[J]临床荟萃,1988(08).
  • 2钱荣立,戴三冬.糖尿病合并脑血管病的临床特点与防治[J]中华内分泌代谢杂志,1985(01).
  • 3曹秉振,郭述苏,许荣家,赵玉武,陈同慧.实验性高血糖对大鼠急性脑缺血的影响[J].临床神经病学杂志,1992,5(1):25-27. 被引量:47

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