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中国当代医药  2022, Vol. 29 Issue (8): 67-70    
  内分泌研究 本期目录 | 过刊浏览 | 高级检索 |
胰岛素强化治疗糖尿病合并急性脑梗死的临床效果
黄良陟 黄族贵 陈 婷
福建省南平市第一医院内分泌科,福建南平 353000
Clinical effect of intensive insulin therapy in the treatment of diabetes complicated with acute cerebral infarction
HUANG Liangzhi HUANG Zugui CHEN Ting
Department of Endocrinology, the First Hospital of Nanping City, Fujian Province, Nanping 353000, China
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摘要 目的 研究胰岛素强化治疗糖尿病合并急性脑梗死的临床效果。方法 选取2019年1月至2021年1月福建省南平市第一医院收治的80 例糖尿病合并急性脑梗死患者作为研究对象, 采用随机数字表法将其分为观察组和对照组,每组各40 例。 对照组开展常规治疗,观察组开展胰岛素强化治疗。 比较两组患者的血糖水平、胰岛素功能指标水平及神经缺损程度。 结果 治疗后,观察组患者的空腹血糖、餐后2 h 血糖、糖化血红蛋白水平低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者的空腹胰岛素及胰岛素抵抗水平低于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后的胰岛素β 细胞功能水平高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者的美国国立卫生研究院卒中量表评分低于对照组,差异有统计学意义(P<0.05)。 结论 对糖尿病合并急性脑梗死患者开展胰岛素强化治疗,不仅能够稳定患者的血糖水平,控制其胰岛素抵抗,还能在一定程度改善患者的神经功能缺损程度,治疗效果显著。
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关键词 胰岛素强化糖尿病急性脑梗死空腹血糖空腹胰岛素神经功能缺损    
Abstract:Objective To study the clinical effect of intensive insulin therapy in the treatment of diabetes mellitus complicated with acute cerebral infarction. Methods A total of 80 patients with diabetes complicated with acute cerebral infarction in the First Hospital of Nanping City, Fujian Province from January 2019 to January 2021 were selected as the research subjects and divided into an observation group and a control group by the random number table method,with 40 patients in each group. Patients in the control group received conventional treatment, while patients in the observation group received intensive insulin therapy. Blood glucose level, insulin function indicators and neurological deficit were compared between the two groups. Results After treatment, the levels of fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). After treatment, fasting insulin and insulin resistance levels in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). The insulin β cells functional level in observation group was higher than that in the control group after treatment, and the difference was statistically significant (P<0.05). After treatment, the score of National Institutes of Health stroke scale in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05).Conclusion Intensive insulin therapy for patients with diabetes complicated with acute cerebral infarction can not only stabilize the blood glucose level of patients, control their insulin resistance, but also improve neurological deficit of patients to a certain extent, with significant therapeutic effect.
Key wordsIntensive insulin therapy    Diabetes mellitus    Acute cerebral infarction    Fasting blood glucose    Fasting insulin    Neurological deficit
    
引用本文:   
黄良陟; 黄族贵; 陈婷. 胰岛素强化治疗糖尿病合并急性脑梗死的临床效果[J]. 中国当代医药, 2022, 29(8): 67-70.
HUANG Liangzhi HUANG Zugui CHEN Ting. Clinical effect of intensive insulin therapy in the treatment of diabetes complicated with acute cerebral infarction. 中国当代医药, 2022, 29(8): 67-70.
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