陈科

[摘要] 目的 探讨对急诊治疗2型糖尿病合并脑梗塞的临床效果。 方法 方便选取该院在2015年4月—2018年4月期间收治的83例2型糖尿病合并脑梗塞患者，将其随机分为研究组与对照组，对照组41例采取急诊常规治疗，研究组42例在对照组基础上对患者血糖加强控制，对两组治疗效果，日常生活能力及运动功能等进行评价比较。结果 研究组总有效率达到95.24%，显著高于对照组75.61%（χ2=4.682，P<0.05）;研究组出院后运动功能评分（83.5±3.5）分、日常生活能力评分（86.6±4.7）分显著高于对照组（t=6.792、6.889，P<0.05）。结论 对2型糖尿病合并脑梗塞患者，在急诊常规治疗的基础上加强对患者血糖的控制，可有效提高治疗效果，改善患者预后，值得临床推广。

[关键词] 2型糖尿病;合并脑梗塞;急诊治疗;临床探讨

[中图分类号] R587          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0072-03

Clinical Study on Emergency Treatment of Type 2 Diabetes Complicated with Cerebral Infarction

CHEN Ke

Department of Emergency， Liyang Branch， Jiangsu Provincial People's Hospital， Liyang， Jiangsu Province， 213300 China

[Abstract] Objective To explore the clinical effect of emergency treatment of type 2 diabetes with cerebral infarction. Methods 83 patients with type 2 diabetes mellitus complicated with cerebral infarction who were admitted to the hospital between April 2015 and April 2018 were convenient selected and divided into study group and control group. 41 patients in the control group were treated with routine emergency treatment. Study group of 42 cases on the basis of the control group， were given more control of blood glucose， and the treatment effects， daily living ability and motor function of the two groups were evaluated and compared. Results The total effective rate of the study group was 95.24%， which was significantly higher than 75.61% of the control group （χ2=4.682， P<0.05）. The study group had （83.5±3.5）points motor function scores after discharge and （86.6±4.7）points daily living ability scores. The score was significantly higher than that of the control group （t=6.792， 6.889， P<0.05）. Conclusion For patients with type 2 diabetes mellitus complicated with cerebral infarction， strengthening the control of blood glucose on the basis of routine emergency treatment can effectively improve the therapeutic effect and improve the prognosis of patients. It is worthy of clinical promotion.

[Key words] Type 2 diabetes mellitus; Cerebral infarction complicated; Emergency treatment; Clinical investigation

2型糖尿病在臨床十分普遍，主要是胰岛素分泌障碍引起的高血糖疾病，临床症状主要以“三多一少”为主，多食、多饮、多尿且体重下降，肥胖患者居多。相关研究显示[1]，2型糖尿病是患者发生脑血管内疾病的一个独立危险因素，且能够对患者心肾脑等重要脏器造成一定影响，易出现其他并发症，具有糖尿病的患者，发生脑血管疾病的几率显著高于不伴糖尿病患者，约为2～4倍，脑血管疾病主要以脑梗塞最为常见[2]。急性脑梗塞起病急，患者多伴有语言障碍，肢体偏瘫等症状，临床上，2型糖尿病合并脑梗塞，主要表现为急性脑梗死症状，其致残率和病死率均比较高，为进一步探析2型糖尿病合并脑梗塞急诊治疗临床效果，该文将2015年4月—2018年4月期间收治的83例2型糖尿病合并脑梗塞患者作为研究对象，现报道如下。

1  资料与方法

1.1  一般资料

方便选取该院收治的83例2型糖尿病合并脑梗塞患者，该次研究均经过患者或家属知情同意，并签署同意书，医院伦理委员会批准。……