糖尿病并发急性脑梗死的临床特点及近期预后分析

摘要

Objective To analyze the clinical characteristics and prognosis of patients with diabetes combined with acute cerebral infarction .Methods Stroke patients were divided into the acute cerebral infarction combined with diabetes group (n=128) and acute cerebral infarction combined without diabetes group (n=234) .The age ,gender composition ,disease time ,im-provement rate of neurological impairment and mortality in hospital between two groups were analyzed .Results The hospital mortality of acute cerebral infarction combined with diabetes group was higher than that of acute cerebral infarction combined without diabetes group ,but the improvement rate of neurological impairment of two groups were significantly improved ,espe-cially in the acute cerebral infarction combined without diabetes group .Conclusion The hospital mortality ,improvement rate of neurological impairment and prognosis of patients with acute cerebral infarction combined with diabetes are worse than these of patients with acute cerebral infarction combined without diabetes .%目的：对比分析糖尿病脑梗死与非糖尿病脑梗死患者的临床特点及近期预后。方法将同期住院的脑梗死患者按既往史分为糖尿病脑梗死128例及非糖尿病脑梗死234例，对比分析2组年龄及性别构成、发病时间等一般特征及出院时神经功能缺损改善率、住院病死率等近期预后情况。结果糖尿病脑梗死患者住院病死率高于非糖尿病脑梗死（P＜0·05），临床神经缺损改善率有明显差别。结论脑梗死合并糖尿病患者住院病死率、临床神经功能缺损改善率和预后都差于无糖尿病脑梗死。