Desperat M
Studenckie Koło Naukowe przy Klinice Neurologii II Wydziału Lekarskiego AM, Warszawie.
Neurol Neurochir Pol. 1998 Jul-Sep;32(4):813-20.
In a retrospective study of diabetic and non-diabetic patients with acute ischaemic stroke, mortality and neurological outcome were assessed. Mortality was determined 4 weeks after admission. The study population consisted of the consecutive patients (n = 609) admitted to the Department of Neurology with acute stroke between January 1994 and December 1995. There were 80 diabetic and 529 non-diabetic patients. The mortality rate was higher in diabetics (36.3%) than in non-diabetics (27%), but the difference was not significant (p = 0.08). The neurological status on admission, age, history of arterial hypertension, atrial fibrillation and coronary arterial disease were used to select groups of 41 diabetics and 84 non-diabetics with similar risk factors and similar onset of stroke. The neurological status on 10-th, 20-th and 28-th day of the hospital stay in both groups was compared. The study showed that insulin-dependent diabetics and older patients (above 65 years of age) with diabetes demonstrated a worse neurological outcome than non-diabetic patients, although the difference was not significant.
在一项针对急性缺血性中风的糖尿病患者和非糖尿病患者的回顾性研究中，评估了死亡率和神经功能转归。在入院4周后确定死亡率。研究人群包括1994年1月至1995年12月间连续入住神经内科的急性中风患者（n = 609）。其中有80例糖尿病患者和529例非糖尿病患者。糖尿病患者的死亡率（36.3%）高于非糖尿病患者（27%），但差异无统计学意义（p = 0.08）。根据入院时的神经功能状态、年龄、动脉高血压病史、心房颤动和冠状动脉疾病史，选取了41例糖尿病患者和84例非糖尿病患者，他们具有相似的危险因素和相似的中风发病情况。比较了两组患者住院第10天、第20天和第28天的神经功能状态。研究表明，胰岛素依赖型糖尿病患者以及年龄较大（65岁以上）的糖尿病患者神经功能转归比非糖尿病患者差，尽管差异无统计学意义。
