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目的 探讨糖尿病并脑梗死患者的血糖与其梗塞灶最大直径、神经功能损伤、临床疗效、并发症和死亡率的关系。方法 60例糖尿病并脑梗死与 60例非糖尿病脑梗死进行比较 ,糖尿病并脑梗死 60例中大灶梗死亚组与小灶梗死亚组比较。结果 糖尿病并脑梗死时多为主干支大灶性梗死 ,且神经功能损伤重 ,临床疗效差 ,并发症和死亡率高。结论 血糖水平升高加重脑梗死损害 ,适当使用胰岛素降低血糖对脑梗死治疗及预后是有益的。
Objective To investigate the relationship between the blood glucose in patients with diabetes and cerebral infarction and its maximum diameter of infarction, nerve function impairment, clinical efficacy, complications and mortality. Methods 60 cases of diabetic and cerebral infarction were compared with 60 cases of non-diabetic cerebral infarction. Diabetes and cerebral infarction were compared between 60 cases of infarction subgroup and infarct subgroup of 60 cases. Results Diabetes mellitus and cerebral infarction were mostly large focal infarction with severe neurological damage, poor clinical curative effect and high complication and mortality. Conclusion Increased blood glucose levels aggravate the damage of cerebral infarction. Appropriate use of insulin to reduce blood glucose is beneficial to the treatment and prognosis of cerebral infarction.