【摘要】 目的 观察早期干预对防治2型糖尿病病人并发脑梗塞的影响。方法 将87例2型糖尿病病人随机分为2组,对照组42例病人给予降糖药物或注射胰岛素治疗。观察组45例病人在上述治疗的基础上,常规服用阿斯匹林,維生素E,γ-月见草油丸。所有病例均给予饮食治疗和运动治疗。定期进行血糖、血脂、血流变学检测及神经系统查体,必要时行颅脑CT或磁共振检查。随访2年。结果 观察组中干预后血脂、血流变学水平明显低于对照组(P<0.05),观察组神经系统症状、体征、脑梗塞发生平均低于对照组,脑血流量高于对照组。两组血糖均控制良好,且上述变化与服药时间成正相关。结论 对2型糖尿病病人在积极控制血糖的同时,予以软化血管,抗凝及降脂药物治疗,能够有效的控制血液高凝状态,加快血流,减轻脑动脉硬化,使2型糖尿病并发脑梗塞的发生率明显降低。更多还原

【Abstract】 Objective To observe the influence of early intervention on preventing and curing type - Ⅱ diabetes mellibus and cerebral infarction. Methods 87 cases of type- Ⅱ diabetas mellibus were divided into two groups randomly. 42 cases of the control group were treated with hypoglycemic and injection insulin:45 cases of the observation group were given aspirin 50mg bid Vitamin E 100mg qd oenotherae Biennis 1. 2g bid besides the former theatment. All cases were given food and exercise treatment. Periodic blood sugar liquid hemorrheology were detected and neural system was examined. Cerebral CT or MRI were examined necessarily. The following time was two years. Results There was no difference in blood sugar liquid hemorrheology between the two groups before intervention, after intervention blood liquid hemorrheology were obviously lower than the control group (P<0. 05). The neural symptom and sign cerebral infarction incidence of the observation group were all lower than the control group. The brain blood flow was higher than the control group. The blood sugar of the two groups was controlled well. The changes were positively correlated to taking medicine time. Conclusion Patients with type- Ⅱ diabetes mellitus are treated with soften blood vessel, anticoagulation, cholesterol lowering drugs at the same time besides controlling blood sugar, in order to control blood hypercoagulability, accelerate blood flow and alleviate cerebral arteriosclerosis. It can descend the incidence of type- Ⅱ diabetes mellitus and cerebral infarction.更多还原