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将院内收治的86例2型糖尿病合并急性脑梗死患者随机分为观察组和对照组各43例,两组在常规院内治疗和护理方案基础上,对照组用维生素C静滴治疗,观察组联合应用a-硫辛酸静滴治疗。结果:两组血糖水平及胰岛素功能均得到明显改善(P<0.05),观察组更为明显(P<0.05);观察组有效率为93.0%,对照组的76.7%(P<0.05);治疗后两组NIHSS评分均显著降低,与治疗前比较差异有统计学意义(P<0.05),且观察组改善情况更加明显,组间比较差异有统计学意义(P<0.05);观察组住院时间及医疗费用均显著低于对照组(P<0.05)。结论:对于2型糖尿病合并急性脑梗死的患者而言,应用硫辛酸治疗,不仅可改善胰岛β细胞,降低血糖,而且急性脑梗死有较好疗效,同时减少住院天数及医疗费用,值得临床应用。
86 patients with type 2 diabetes mellitus complicated with acute cerebral infarction admitted to hospital were randomly divided into observation group and control group, 43 cases in each group. On the basis of conventional in-hospital treatment and nursing program, the control group was treated with intravenous infusion of vitamin C, Application a-lipoic acid intravenous therapy. Results: The blood sugar level and insulin function of both groups were significantly improved (P <0.05), and the observation group was more obvious (P <0.05). The effective rate was 93.0% in the observation group and 76.7% in the control group (P <0.05) The NIHSS scores of the latter two groups were significantly lower than those before treatment (P <0.05), and the improvement in the observation group was more obvious with significant difference between the two groups (P <0.05). The length of stay in the observation group And medical costs were significantly lower than the control group (P <0.05). Conclusion: For patients with type 2 diabetes mellitus complicated with acute cerebral infarction, lipoic acid therapy can not only improve pancreatic β-cell and lower blood sugar, but also have better curative effect in acute cerebral infarction and reduce hospitalization days and medical expenses, which is worthy of clinical application .