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目的探讨血糖对糖尿病(DM)合并脑梗死预后的影响。方法对83例脑梗死患者进行回顾性分析。结果糖尿病合并脑梗死组空腹血糖、血压明显高于非糖尿病脑梗死组。治疗后,两组神经功能缺损评分有显著差别(P<0.05)。而DM脑梗死组的无效率(无变化+恶化死亡)也明显高于非糖尿病脑梗死组(P<0.05)。结论控制血糖对DM脑梗死的治疗和预后是十分重要的。
Objective To investigate the effect of blood glucose on the prognosis of diabetes mellitus (DM) complicated with cerebral infarction. Methods 83 patients with cerebral infarction were retrospectively analyzed. Results The fasting blood glucose and blood pressure of diabetic patients with cerebral infarction were significantly higher than those of non-diabetic cerebral infarction patients. After treatment, there was a significant difference between the two groups in neurological deficit score (P <0.05). The inefficiency (no change + worsening death) in DM cerebral infarction group was also significantly higher than that in non-diabetic cerebral infarction group (P <0.05). Conclusion It is very important to control the blood sugar in the treatment and prognosis of DM cerebral infarction.