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目的探讨2型糖尿病合并脑梗死的危险因素及治疗措施。方法分析我院2005年10月至2009年12月入院的98例患者的临床资料。结果本组98例均采取了控制血糖、控制血压及常规脱水、改善脑代谢、改善微循环等治疗,所有病例均未行溶栓治疗。结论积极控制血糖对预防糖尿病性微血管并发症作用肯定,但血管病变有许多除血糖以外的其他因素,如血压、血脂、血尿酸等。糖尿病合并脑梗死的防治原则引起大血管并发症的主要危险因素是高血糖、血脂代谢紊乱、高胰岛素血症、胰岛素抵抗以及高血压。总之,2型糖尿病并发脑梗死是多种因素共同作用引起的结果。临床应控制血糖,注意饮食习惯,降压、调整血脂和血尿酸及适当的抗凝、抗血小板等综合治疗,以减少脑梗死的发生率。
Objective To investigate the risk factors and treatment of type 2 diabetes complicated with cerebral infarction. Methods The clinical data of 98 patients admitted to our hospital from October 2005 to December 2009 were analyzed. Results The group of 98 patients took blood glucose control, blood pressure control and conventional dehydration, improve brain metabolism, improve microcirculation and other treatment, no cases of thrombolytic therapy. Conclusion Positive control of blood glucose has a positive effect on the prevention of diabetic microvascular complications. However, there are many other factors besides blood sugar in vascular diseases such as blood pressure, blood lipids, blood uric acid and so on. Prevention and treatment of diabetes complicated with cerebral infarction The main risk factors for macrovascular complications are hyperglycemia, dyslipidemia, hyperinsulinemia, insulin resistance and hypertension. In short, type 2 diabetes complicated with cerebral infarction is the result of many factors together. Clinical should control blood sugar, pay attention to diet, blood pressure, blood lipid and serum uric acid and appropriate anticoagulation, antiplatelet and other comprehensive treatment to reduce the incidence of cerebral infarction.