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目的:比较糖尿病、高血压病、糖尿病合并高血压患者并发脑梗死的特点、治疗效果及预后。方法:选取2015年8月至2016年8月间于我院接受治疗的脑梗死患者200例,按照伴发疾病分为,糖尿病组45例,高血压组90例以及糖尿病伴高血压组65例。分析不同组患者脑梗死的发病特点、治疗效果及预后情况。结果:糖尿病、高血压病脑梗死多以腔隙性脑梗死为主(分别为82.2%、78.89%,P>0.05),神经功能缺损均以轻、中型为主(分别为73.33%、76.67%,P>0.05),治疗显效率分别为53.33%及63.33%,无明显差异(P>0.05)。但糖尿病合并高血压病组神经功能缺损多以中、重度卒中为主(治疗显效率仅为32.33%,明显较其他两组差(P<0.05)。
OBJECTIVE: To compare the characteristics, therapeutic effects and prognosis of patients with diabetes mellitus, hypertension, diabetes mellitus complicated by hypertension and cerebral infarction. Methods: A total of 200 patients with cerebral infarction treated in our hospital from August 2015 to August 2016 were divided into two groups: 45 cases in diabetic group, 90 cases in hypertension group and 65 cases in diabetic patients with hypertension group . Analysis of different groups of patients with cerebral infarction characteristics, treatment and prognosis. Results: Most of cerebral infarction patients with diabetes mellitus and hypertension had lacunar infarction (82.2%, 78.89%, P> 0.05, respectively). The neurological deficits were mainly mild and moderate (73.33% and 76.67% , P> 0.05). The effective rates of treatment were 53.33% and 63.33% respectively, with no significant difference (P> 0.05). However, most of the patients with diabetes mellitus and hypertension group had moderate or severe neurological deficits (the effective rate was only 32.33%, which was significantly lower than the other two groups (P <0.05).