| Brain death is a familiar disease that comes on often, which has threatened human being's health and life. As the average age of human being has extended, more people get this disease. The number of people who died of this disease ranks the first three in the reasons of death in China; in some regions, it even ranks the first place. So how to prevent and cure this disease is the question which the medical staff concern and want to make a research. Especially the blood lacking brain death is the emphasis of neuro-internal medicine, since it has a higher possibility to make people dead and disable, and it has higher possibility of recrudescence. To discuss brain death's clinic, prognosis, recrudescence and other dangerous factors, to prevent and cure brain death, to avoid recrudescence have become the important issue of social health. This paper collects the data of 698 brain death patients, who boarded in our hospital, and I have divided it into two parts, one is about blood lacking brain death which intercurrent with diabetes, the other is blood lacking brain death which don't intercurrent with diabetes. Through the deep research of its popularity, clinic, biochemistry, CT or MRI, cure and the interview after prognosis, I recognizes that the situation of getting the disease in the two groups. The proportion between male and female in the group of diabetes is 0.92:1; the proportion in the group of non-diabetes is 1.79:1. The age of the group of diabetes is (63.75+/-10.31), the age of the group of non-diabetes is (62.58+/-12.03). The difference between them is not significant (T=1.21, p>0.05). RBC and HGB has sharp difference between two groups (p<0.01), WBC and PLT has no sharp difference between two groups (p>0.05). Triglyceride and, apo-lipoprotein A1 have sharp difference between two groups (p<0.01); Total cholesterol,apo-lipoprotein B ,High density lipoprotein cholesterol,Low density lipoprotein cholesterol have no sharp difference between two g aroups (p>0.05),Blood sugar Carbon dioxide combining power(CO2CP),Blood urea nitrogen(BUN) have sharp difference (p<0.01). Creatinine,Uric acid have no sharp difference (p>0.05). The patients infarct part has no sharp difference (p>0.05). Between two groups the high blood pressure history, heart shake history, drink wine history and apoplexy history have sharp difference (p<0.05). The compare of the curative effect has no sharp difference (p>0.05). Before the cure,the patient of apoplexy of two groups the degree of the damage of nerve function dificiency has no sharp difference (p>0.05); after the cure, the degree also has no sharp difference (p>0.05). But compared between two groups ,before and after the cure, the patient of apoplexy in each group the degree of the damage of nerve function deficiency has sharp difference(p<0.05).Before the cure,the estimate about the ability to deal with daily life between two groups has no sharp difference (p>0.05); after the cure, the estimate of the ability also has no sharp difference (p>0.05).but in each group,before and after the cure, the estimate of the ability has sharp difference (p<0.01). In the group of diabetes, the number of days the patients lived in hospital is (20.66+/-17.27), in the other group, the number is (15.91+/-12.79), there is sharp difference (T=4.01, P=0.00); In the group of diabetes, the fee for living in hospital is (7967.99+/-6487.09), in the other group, the fee is (6091.33+/-5289.66), the difference is sharp (T=8.38, P=0.00). The analysis of living shows that the living time in the group of diabetes is (22.76+/-10.94), in the other group, the time is (23.85+/-10.32, there is no sharp difference (T=2.094, P>0.05) ; the accumulated death rate and recovery rate between two groups has no sharp significance (p>0.05 Log-Rank Examination). The analysis of the model of Cox risking shows:the recrudescence of apoplexy not only has relationship with diabetes but also with age, the high blood pressure history, coronary heart disease history ,heart shake history, apoplexy history.The respective relative risking of recrudescence rate of apoplexy is1.222,1.531,1.345,1.318,3.091 and 1.484.Therefore, to sum up, the brain death intercurrent with diabetes has correlation with age, gender. Thebrain death intercurrent with diabetes is serious, the damage of the nerve function is obvious, and the patients have poor ability to deal with daily life and either before or after the cure is worse than the group of blood lacking brain death which don't intercurrent with diabetes.The place and the size of infarct part of the group of blood lacking brain death which intercurrent with diabetes is the same with the group of blood lacking brain death which don't intercurrent with diabetes. The number of days when the patients of blood lacking brain death which intercurrent with diabetes lived in hospital are longer than the other .And the fee for living in hospital is also higher than the patient of blood lacking brain death which don't intercurrent with diabetes.It brings serious spiritual and economic burden to society and family.The entire dangerous factors related to brain death have relation with the brain death intercurrent with diabetes, especially high blood pressure, diabetes, heart shake history, high blood fat the history of brain death, the history of drink. They formed the dangerous factors of the brain death intercurrent with diabetes. The statistic analysis of surviving analysis shows that the recrudesce rate and the death rate between two groups are no sharp difference.The recrudesce of apoplexy has relationship with not only diabetes but also age, high blood pressure history , coronary heart disease history, heart shake history, apoplexy history. To cure diabetes actively, to control the level of blood sugar, to reduce the syndromes of diabetes, to treat the dangerous factors seriously, this will be helpful for us to prevent this disease, at the same time, which will be helpful for us to divide the patients in order to provide particular data for individualize cure, in order to improve the quality of life of the patients of diabetes and the brain death. |
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