Ⅱ型糖尿病合并脑血管病的临床研究  

A clinical study of type Ⅱ diabetes mellitus(DM)complicated with cerebral vascular djseases(CVD)

作　　者：黄昭穗[1] 黄胜立[1] 刘开渊[1] 方军[1] 

机构地区：[1]解放军第95医院内科,福建莆田351100

出　　处：《东南国防医药》2003年第1期9-11,共3页Military Medical Journal of Southeast China

摘　　要：目的探讨Ⅱ型糖尿病并发脑血管病的并发率及易患因素。方法对1996年12月至2001年12月在我科住院的Ⅰ型糖尿病患者分为两组,探讨Ⅱ型糖尿病并发脑血管病的发生率及易患因素。结果Ⅱ型糖尿病并发脑血管病的发生率为13.8%,明显高于非糖尿病组,高血糖是并发脑血管病的主要危险因素之一,严重糖代谢紊乱,脑血管病的发生率更高,糖尿病并发高血压、高血脂发生脑血管病明显高于无高血压、高血脂组,且年龄越大,糖尿病病程越长,脑血管病的发生率越高。结论Ⅱ型糖尿病是并发脑血管病的主要危险因素之一;Ⅱ型糖尿病同时并发高血压、高血脂,并随着年龄增大、病程延长,脑血管病的发生率越高。Objectives To Study the rate of complication of CVD and risk factors in type Ⅱ DM. Methods 435 cases with type Ⅱ DM were divided into two groups: the complication group and the control group. Results The incidance rate of complication of CVD in type Ⅱ DM was 13.8%, higher than the control group. Hyperglycemia was one of the most important risk factors in complication of CVD. It had a higher incidance rate than the control group in the cases with worse disorder of glucose metabolism, hypertension, hyperlipemia, elder, and longer duration. Conclusions The study shows that DM is one of the most important risk factors of complication of CVD, and the incidance rate is higher in the cases with hypertension, hyperlipemia, elder, and longer duration.

关 键 词：糖尿病 脑血管病 

分 类 号：R587.1[医药卫生—内分泌] R743[医药卫生—内科学]