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目的分析高血压致脑出血伴糖尿病患者的临床诊疗及预后。方法 50例高血压致脑出血伴糖尿病患者,随机分为对照组与观察组,各25例。对照组使用常规治疗,观察组在对照组基础上使用手术联合强化胰岛素治疗,对两组患者的临床效果进行比较。结果对照组总有效率为64.0%,观察组总有效率为88.0%,两组比较差异有统计学意义(P<0.05);观察组患者的血糖控制和预后优于对照组,差异有统计学意义(P<0.05)。结论对高血压致脑出血伴糖尿病患者使用手术联合强化胰岛素进行治疗,临床治疗效果显著,值得推广应用。
Objective To analyze the clinical diagnosis and prognosis of hypertensive cerebral hemorrhage with diabetes mellitus. Methods Fifty patients with hypertensive cerebral hemorrhage and diabetes mellitus were randomly divided into control group and observation group, with 25 cases in each group. The control group was treated with conventional therapy. The observation group was treated with intensive insulin therapy on the basis of the control group, and the clinical effects of the two groups were compared. Results The total effective rate of the control group was 64.0%, the total effective rate of the observation group was 88.0%, the difference between the two groups was statistically significant (P <0.05); the control group and the observation group had better glycemic control and prognosis than the control group Significance (P <0.05). Conclusions The treatment of hypertensive intracerebral hemorrhage with diabetes mellitus by using surgery combined with intensive insulin therapy has remarkable clinical effect and is worth popularizing and applying.