李尚品

[摘要] 目的 探究阿托伐他汀强化治疗在急性缺血性脑卒中合并糖尿病患者中的应用效果。方法 抽选该院2017年5月—2019年5月接收的急性缺血性脑卒中合并糖尿病患者30例，将入选患者依照单双号分组法分成研究组15例、参照组15例。参照组患者实施常规对症治疗，研究组在对症治疗基础上，给予患者阿托伐他汀强化治疗，比较组间患者应用效果。结果 治疗前，研究组与参照组患者血糖水平及脑神经功能评分差异无统计学意义（P>0.05），治疗后研究组患者血糖下降水平与脑神经功能评分下降更为明显，与参照组相比差异有统计学意义（P<0.05）;研究组患者血糖恢复时间明显短于参照组，差异有统计学意义（P<0.05）。结论 利用阿托伐他汀强化治疗在急性缺血性脑卒中合并糖尿病患者，可有效提升患者脑神经功能，改善血糖水平，缩短患者血糖恢复时间，促进患者早日康复，具有一定临床应用价值。

[关键词] 阿托伐他汀;强化治疗;急性缺血性脑卒中;糖尿病;应用效果

[中图分类号] R4          [文献标识码] A          [文章编号] 1672-4062（2020）06（a）-0049-03

[Abstract] Objective To explore the effect of atorvastatin intensive treatment in patients with acute ischemic stroke and diabetes. Methods A total of 30 patients with acute ischemic stroke and diabetes received from May 2017 to May 2019 in the hospital were selected， and the selected patients were divided into a research group of 15 cases and a reference group of 15 cases according to the single and double number grouping method. Patients in the reference group were treated with conventional symptomatic treatment. On the basis of symptomatic treatment， the research group gave patients intensive treatment with atorvastatin， and compared the effects of application among patients in the group. Results Before treatment， there was no statistically significant difference in blood glucose levels and brain nerve function scores between the study group and the reference group（P>0.05）. After treatment， the blood glucose levels of the study group patients and brain nerve function scores decreased more significantly， compared with the reference group， the difference was statistically significant（P<0.05）; the blood glucose recovery time of the study group was significantly shorter than that of the reference group， the difference was statistically significant（P<0.05）. Conclusion Intensive treatment with atorvastatin in patients with acute ischemic stroke and diabetes can effectively improve the brain nerve function， improve blood glucose level， shorten the blood glucose recovery time of the patient， and promote the patient's early recovery. It has certain clinical application value.

[Key words] Atorvastatin; Intensive treatment; Acute ischemic stroke; Diabetes; Application effect

隨着人们经济水平不断提升，生活习惯与饮食习惯的不断改变，糖尿病发病率逐年呈上升趋势，而随着我国老龄化趋势不断加剧，中老年多种疾病发病率随之增加，其中包括急性缺血性脑卒中合并糖尿病[1]，该疾病的产生对患者身体健康及生命安全存在严重影响，而对急性缺血性脑卒中合并糖尿病患者进行及时有效治疗，可有效预防其出现其他严重并发症，临床在治疗该疾病过程中，一般选用对症治疗[2-3]，此种治疗在缓解患者临床症状中存在一定作用，但不可对其进行其他症状防治，有研究表明[4]，对急性缺血性脑卒中合并糖尿病患者在实施对症治疗过程中，加以阿托伐他汀强化治疗，效果更为……