Abstract:

Objective To explore the relationship between blood glucose level and both condition and prognosis of the community type 2 diabetes mellitus patients complicated with stroke. Methods One hundred and twenty community patients suffered from type 2 diabetes mellitus complicated with stroke were enrolled and divided into 3 groups according to their blood glucose level. Relationship between patients’ blood glucose level and both condition and prognosis were observed and analyzed. Results Compared to patients in group 7.8≤Glu≤11.1, patients in group 11.1<Glu≤16.7 showed no significant deterioration(P=0.023), and no difference in prognosis(P=0.316). Patients in group Glu>16.7 showed deterioration significantly than the patients in group 11.1<Glu≤16.7, but no difference in prognosis(P<0.001). Conclusion Type 2 diabetes mellitus patients complicated with stroke in community who had a severely elevated blood glucose level would have a serious condition and poor prognosis. Prognosis may be improved if blood glucose level administration was enhanced.

Key words: Community networks; Diabetes mellitus; type 2; Stroke; Prognosis

摘要：

目的 探讨社区2型糖尿病合并卒中患者病情及转归与血糖（Glucose，Glu）水平关系。 方法 收集社区120例2型糖尿病合并卒中患者，根据入院时血糖水平分为3组：7.8mmol/L≤Glu≤11.1mmol/L组41例，11.1mmol/L<Glu≤16.7mmol/L组34例，Glu>16.7mmol/L组45例，观察分析患者血糖水平与病情轻重程度及预后的关系。 结果 11.1mmol/L<Glu≤16.7mmol/L组与7.8mmol/L≤Glu≤11.1mmol/L组患者相比，病情无明显加重（P=0.023），预后无明显差异（P=0.316）。Glu>16.7mmol/L组较11.1mmol/L<Glu≤16.7mmol/L组相比，病情明显加重（P<0.01），预后无明显差异（P<0.01）。 结论 社区糖尿病合并卒中患者，血糖水平严重升高者，患者的病情严重，预后差。加强血糖控制有可能改善患者的预后

关键词: 社区网络; 糖尿病; 2型; 卒中; 预后