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目的:探讨分析糖尿病脑梗死的临床特点。方法:将糖尿病脑梗死患者(n=97)与非糖尿病脑梗死患者(n=82)进行对照研究,研究内容包括临床表现、脑梗死情况及并发症发生率。结果:糖尿病脑梗死组出现失语与偏瘫的发生率、脑梗死部位及病灶大小与非糖尿病脑梗死组比较,差异具有统计学意义(均P<0.05)。糖尿病脑梗死组发生肺部感染、心肌缺血、肾功能损害、梗塞后出血及消化道出血等并发症的发生率均明显高于非糖尿病脑梗死组,差异具有统计学意义(均P<0.05)。结论:糖尿病脑梗死患者临床表现较为严重,并发症多,故其预后较差。
Objective: To investigate the clinical features of diabetic cerebral infarction. METHODS: A controlled study of patients with diabetes mellitus (n = 97) and non-diabetic patients (n = 82) was performed, including clinical manifestations, cerebral infarction and complication rates. Results: The incidence of aphasia and hemiparesis in diabetic cerebral infarction group was significantly higher than that in non-diabetic cerebral infarction group (all P <0.05). The incidence of complications such as pulmonary infection, myocardial ischemia, renal dysfunction, bleeding after infarction and gastrointestinal bleeding in diabetic cerebral infarction group were significantly higher than those in non-diabetic cerebral infarction group (all P <0.05 ). Conclusion: The clinical manifestations of patients with diabetic cerebral infarction are more serious and have more complications. Therefore, the prognosis is poor.