糖尿病性脑梗死临床特点分析  

Clinical features analysis about diabetes-mellitus cerebral infarction

作　　者：宋士萍[1] 王秀[1] 吕莹[1] 

机构地区：[1]北京市垂杨柳医院神经内科,北京100022

出　　处：《中国实用神经疾病杂志》2010年第11期40-41,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的评价首次发生糖尿病性脑梗死(DCI)的危险因素、影像学特征。方法 DCI组52例,非糖尿病性脑梗死(NDCI)组60例,比较2组的危险因素、梗死部位、梗死类型。结果 DCI组TG升高及HDL降低者较NDCI组显著(P<0.05)。梗死部位两组无统计学差异,均以幕上病灶为主(P>0.05)。DCI组更易发生腔隙性脑梗死(LACI)(P<0.01)。结论 DCI具有血脂异常、梗死部位多位于皮层下及基底节区,易发生LACI等特点。Objective To evaluate the risk factors and image features about the diabetic and nondiabetic patients with first-onset cerebral infarction（DCI and NDCI）.Methods There were 52 cases in DCI and 60 cases in NDCI.The differences among risk factors,the location of infarction and infarct patterns were observed.Results The level of TG raised and HDL reduced in DCI were significantly higher than those in NDCI（P0.05）.There was no clear difference between two groups at the location of infarction,supratentorial infarcts were more frequent in both of them（P0.05）.DCI was more likely to LACI（P0.01）.Conclusion DCI had some features such as dyslipidemia,infarctions were found to be located mainly in the subcortical and basal ganglia and more likely to have LACI.

关 键 词：糖尿病 脑梗死 临床特征 

分 类 号：R743.33[医药卫生—神经病学与精神病学]