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目的探讨糖尿病致自发性脑出血临床特点和预后情况。方法选择雷州市龙门镇湛江农垦第二医院糖尿病致自发性脑出血患者36例,作为观察组;同时选择非糖尿病脑出血患者36例,作为对照组。观察两组患者临床表现、出血部位和预后情况。结果观察组高血压、偏瘫、失语、消化道出血、死亡发生率显著高于对照组,差异有统计学意义(P<0.05)。观察组患者出血部位所占比例分别与对照组比较,差异无统计学意义(P>0.05)。观察组总有效率显著低于对照组,差异有统计学意义(P<0.05)。结论糖尿病致自发性脑出血临床症状较非糖尿病性脑出血严重,且预后差。
Objective To investigate the clinical features and prognosis of spontaneous cerebral hemorrhage caused by diabetes mellitus. Methods Thirty-six patients with spontaneous cerebral hemorrhage caused by diabetes mellitus were selected as the observation group in the Second Hospital of Zhanjiang Reclamation, Longmen Town, Leizhou City. Thirty-six patients with non-diabetic cerebral hemorrhage were selected as the control group. Two groups of patients were observed clinical manifestations, bleeding sites and prognosis. Results The incidence of hypertension, hemiplegia, aphasia, gastrointestinal bleeding and death in the observation group was significantly higher than that in the control group (P <0.05). The proportions of hemorrhagic sites in observation group were respectively compared with those in control group, with no significant difference (P> 0.05). The total effective rate in observation group was significantly lower than that in control group, the difference was statistically significant (P <0.05). Conclusion The clinical symptoms of spontaneous cerebral hemorrhage caused by diabetes are more serious than non-diabetic cerebral hemorrhage, and the prognosis is poor.