2型糖尿病患者伴发脑梗死相关因素的研究  

Study of Risk Factors of Type 2 Diabetes Mellitus Patients Complicated with Cerebral Infarction

作　　者：徐冬香[1] 林春颖[1] 潘丹红[1] 

机构地区：[1]上海市南汇区中心医院神经内科,上海201300

出　　处：《中国现代医生》2009年第12期32-33,共2页China Modern Doctor

摘　　要：目的研究2型糖尿病伴发脑梗死的相关因素。方法选取2型糖尿病伴发脑梗死40例和单纯2型糖尿病36例,分别进行询问生活习惯、病史、检测体重、身高、收缩压、血脂、血糖、糖化血红蛋白、纤维蛋白原、血尿酸,并进行相关性分析。结果两组间患者在年龄、吸烟史、糖尿病病程、收缩压、空腹血糖水平及高密度脂蛋白比较差异有显著性(均P<0.05);体重指数、血总胆固醇、纤维蛋白原、血尿酸、糖化血红蛋白比较差异具有极显著性(均P<0.01)。结论监测血糖、血脂、糖化血红蛋白、收缩压、体重指数、纤维蛋白原,血尿酸,适时采取生活方式干预及药物控制,对减少2型糖尿病并发脑梗死是有益的。Objective To study the relative factors of type 2 diabetes mellitus patients complicated with cerebralinfarction. Methods The patients were divided into two groups：40 cases of type 2 diabetes complicated with cerebral infarction served as complication group and 36 cases of type 2 diabetes were served as control group,the living habit,disease history,body mass index,height,contractive pressure,blood lipids, bloodglucose, glycosylated hemoglobin,fibrinogen, serum uric acid were investigated, and the relationship between them was evaluated. Results There were significant differences between the two groups in age, duration of smoking, course of diabetes, contractive pressure,fasting blood glucose and high density lipoprotein（all P〈 0.05）, also were significant differences in body mass index, total cholesterol, fibrinogen （Fg）, serum uric acid and glycosylated hemoglobin （ HbA 1 c ） （ all P 〈 0.01 ）. Conclusion Monitoring bloodglucose, blood lipids, glycosylated hemoglobin, contractive pressure, body mass index, fibrinogen（Fg）, serum uric acid, to intevene their life styls, to take drug control,it is beneficial of reducing cerebral infarction in type 2 diabetesmellitus patients.

关 键 词：2型糖尿病 脑梗死 相关因素 

分 类 号：R587.2[医药卫生—内分泌]