高血壓糖尿病合并腦出血患者血糖水平控制對并發(fā)癥發(fā)生率的影響
本文選題:血糖控制 切入點:高血壓糖尿病 出處:《臨床醫(yī)學工程》2016年11期 論文類型:期刊論文
【摘要】:目的研究血糖水平控制對高血壓糖尿病合并腦出血患者并發(fā)癥發(fā)生率的影響。方法選取我院2013年4月至2015年3月收治的85例高血壓糖尿病合并腦出血患者,按血糖控制情況分為兩組:A組為血糖控制良好(43例),B組為血糖控制不良(42例)。分析和比較兩組的血壓情況及并發(fā)癥發(fā)生率、死亡率。結(jié)果治療前,兩組最高收縮壓、最高舒張壓、最低收縮壓、最低舒張壓比較差異無統(tǒng)計學意義(P0.05)。治療后兩組血壓均有所下降,但A組下降幅度較大,趨于正常水平;兩組比較差異具有統(tǒng)計學意義(P0.05);A組的并發(fā)癥發(fā)生率和死亡率分別為20.9%、4.7%,顯著低于B組的47.6%、19.0%,差異具有統(tǒng)計學意義(P0.05)。結(jié)論對高血壓糖尿病合并腦出血患者進行血糖控制可以改善患者的血壓水平,降低并發(fā)癥發(fā)生率。
[Abstract]:Objective to study the effect of blood glucose level control on the incidence of complications in patients with hypertensive diabetes mellitus complicated with intracerebral hemorrhage. Methods 85 patients with hypertensive diabetes mellitus complicated with intracerebral hemorrhage were selected from April 2013 to March 2015 in our hospital. According to the blood glucose control condition, the two groups were divided into two groups: group A: 43 cases with good blood glucose control and group B 42 cases with poor blood glucose control. The blood pressure, complications and mortality were analyzed and compared between the two groups. Results before treatment, the highest systolic blood pressure was found in the two groups. The highest diastolic blood pressure, the lowest systolic blood pressure and the lowest diastolic blood pressure had no significant difference between the two groups. There were significant differences between the two groups in the incidence of complications and mortality in group A (20.9%), which was significantly lower than that in group B (47.6%). The difference was statistically significant (P 0.05). Conclusion Blood glucose control is performed in patients with hypertensive diabetes mellitus complicated with intracerebral hemorrhage. Can improve patients' blood pressure, Reduce the incidence of complications.
【作者單位】: 廣東省揭陽市人民醫(yī)院神經(jīng)內(nèi)三科;
【分類號】:R587.1;R544.1;R743.34
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