糖尿病脑出血与非糖尿病脑出血的临床分析

摘要

目的 探讨糖尿病脑出血与非糖尿病脑出血的临床特点和预后情况.方法 对2007年1月-2010年12月收治的脑出血患者196例进行回顾性分析,其中糖尿病患者82例(研究组),非糖尿病患者114例(对照组),观察比较2组患者的临床表现、辅助检查以及患者的预后情况.结果 ①2组患者意识障碍、感觉障碍、高血压、偏瘫、失语及上消化道出血发生率差异有统计学意义(P＜0.05),研究组明显高于对照组.②研究组患者的痊愈率、显效率明显低于对照组(P＜0.05),而病死率则明显高于对照组(P＜0.05).结论 糖尿病性脑出血与非糖尿病性脑出血临床表现差异有统计学意义,高血糖可能损害脑细胞能量代谢过程,影响患者预后.%Objective To investigate the clinical features and prognosis of diabetic and non -diabetic cerebral hemorrhage. Methods A total of 196 cases of patients with cerebral hemorrhage from 2007 January to 2010 December were analyzed retrospectively, and were divided into diabetic group and non - diabetic group ( control group). Clinical manifestation, auxiliary examination and prognosis were compared between the two groups. Results ① the incidence rates of disturbance of consciousness, sensory disorders, hypertension, hemiplegia, aphasia and upper gastrointestinal bleeding in the study group were significant higher ( P < 0. 05 ) than those of the control group. ②The cure rate and effective rate of patients in the study group were significant lower ( P < 0. 05 ) than those of control group, but mortality was significantly higher than that of control group ( P < 0. 05 ). Conclusion Significant difference in clinical manifestations existed between diabetic and non - diabetic cerebral hemorrhage, hyperglycemia may damage brain cellular energy metabolism process and influence the prognosis of patients.