基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2014年
7期
825-827
,共3页
糖尿病%脑卒中%康复%甘精胰岛素
糖尿病%腦卒中%康複%甘精胰島素
당뇨병%뇌졸중%강복%감정이도소
DIAB%stroke%Rehabilitation%Insulin glargine
目的：观察甘精胰岛素联合口服降糖药物在2型糖尿病脑卒中康复治疗中的疗效。方法将2型糖尿病脑卒中患者80例随机分为试验组和对照组，每组40例，2组均行常规康复治疗。试验组给予入院后胰岛素的强化治疗，7 d~10 d后甘精胰岛素联合一种降糖药物降血糖，对照组给予常规口服药物降血糖。观察2组患者治疗后4周、8周神经功能评分，比较患者康复治疗疗效。结果试验组康复效果优于对照组，尤以治疗后8周效果显著。结论甘精胰岛素在糖尿病脑卒中康复治疗中具有良好作用，值得推广。
目的：觀察甘精胰島素聯閤口服降糖藥物在2型糖尿病腦卒中康複治療中的療效。方法將2型糖尿病腦卒中患者80例隨機分為試驗組和對照組，每組40例，2組均行常規康複治療。試驗組給予入院後胰島素的彊化治療，7 d~10 d後甘精胰島素聯閤一種降糖藥物降血糖，對照組給予常規口服藥物降血糖。觀察2組患者治療後4週、8週神經功能評分，比較患者康複治療療效。結果試驗組康複效果優于對照組，尤以治療後8週效果顯著。結論甘精胰島素在糖尿病腦卒中康複治療中具有良好作用，值得推廣。
목적：관찰감정이도소연합구복강당약물재2형당뇨병뇌졸중강복치료중적료효。방법장2형당뇨병뇌졸중환자80례수궤분위시험조화대조조，매조40례，2조균행상규강복치료。시험조급여입원후이도소적강화치료，7 d~10 d후감정이도소연합일충강당약물강혈당，대조조급여상규구복약물강혈당。관찰2조환자치료후4주、8주신경공능평분，비교환자강복치료료효。결과시험조강복효과우우대조조，우이치료후8주효과현저。결론감정이도소재당뇨병뇌졸중강복치료중구유량호작용，치득추엄。
Objective Clinical observation of insulin glargine combined with oral hypoglycemic drugsin type2 diabetes, stroke rehabilitation. Methods 80 cases of type 2 diabeticpatients with stroke,randomly divided into experimental group,control group.40 patients in each group,two groups were given conventional rehabilitation therapy. The experimental group received intensive therapy of insulinafter admission ,7-10 days after insulin glargine combined with a hypoglycemic drug reducing blood sugar.The control group was given conventional oral hypoglycemicdrugs. The two groups were observed respectively after treatment 4 weeks,8 weeks,the use of neural function score,compared with the effect of rehabilitation therapy. Results The effect of experimental group is better than the control group. Conclusion insulin glargine have a good effect on stroke rehabilitation in the treatment of diabetes.
