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目的探讨个体化目标血糖调治对糖尿病性脑梗死患者的影响。方法糖尿病性脑梗死患者231例随机分为两组。治疗组进行个体化血糖调治;对照组进行强化治疗。观察低血糖,脑梗死再发,心脏事件、死亡,功能健康水平等情况。结果治疗组低血糖发生率明显低于对照组(P<0.01);治疗组心脏事件发生率及6a总病死率低于对照组(P<0.05)。结论糖尿病性脑梗死采取个体化血糖控制能明显降低低血糖、心脏事件及总病死率。
Objective To explore the effect of individualized target blood glucose control on patients with diabetic cerebral infarction. Methods 231 patients with diabetic cerebral infarction were randomly divided into two groups. Treatment group for individualized blood glucose control; control group for intensive treatment. Observe hypoglycemia, recurrent cerebral infarction, cardiac events, death, functional health status and so on. Results The incidence of hypoglycemia in the treatment group was significantly lower than that in the control group (P <0.01). The incidence of cardiac events and the overall mortality rate of 6a in the treatment group were lower than those in the control group (P <0.05). Conclusion Individualized glycemic control of diabetic cerebral infarction can significantly reduce hypoglycemia, cardiac events and overall mortality.