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目的探讨2型糖尿病性颅神经损害的机制、临床特点、治疗效果和预后。方法收集我院1999年3月至2009年12月收治的32例并发颅神经损害的2型糖尿病患者的临床资料进行回顾性分析。结果合并颅神经损害者多为老年糖尿病患者,病程较长,平时血糖控制不满意。多数发病急骤,有效降低血糖辅以神经营养有助于颅神经功能的恢复。结论年龄>50岁,糖尿病程长,血糖未能很好控制,是2型糖尿病并发颅神经损害的重要相关因素。
Objective To investigate the mechanism, clinical features, therapeutic effect and prognosis of type 2 diabetic cranial nerve lesion. Methods The clinical data of 32 patients with type 2 diabetes mellitus complicated with cranial nerve damage admitted in our hospital from March 1999 to December 2009 were retrospectively analyzed. The results of cranial nerve damage were mostly elderly patients with diabetes, longer duration, usually not satisfied with the control of blood glucose. The majority of sudden onset, effectively reducing blood glucose supplemented with neurotrophic help the recovery of cranial nerve function. Conclusions Age> 50 years old, long duration of diabetes and poor blood glucose control are important related factors of type 2 diabetes with cranial nerve damage.