糖尿病与腔隙脑梗塞  

DIABETES MELLITUS AND LACUNAR CEREBRAL INFARCTS

作　　者：李丹清 

机构地区：大连医科大学第二临床学院内分泌科,辽宁大连116023

出　　处：《医师进修杂志》2000年第9期26-27,共2页Journal of Postgraduates of Medicine

摘　　要：目的：研究糖尿病与腔隙脑梗塞的关系。方法：对１９５例腔隙脑梗塞作回顾分析，根据是否合并糖尿病将其分为糖尿病组及非糖尿病组，进行对照研究。结果：腔隙脑梗塞中糖尿病发病率为５２．８％；糖尿病组死亡率１７．５％，多发梗塞率６８．９％，平均胆固醇（５．６９±１．５８）ｍｍｏｌ／Ｌ，甘油三酯（１．６０±１．１９）ｍｍｏｌ／Ｌ，均高于非糖尿病组，非糖尿病组上述指标分别为２．２％、５３．３％，（５．０７±１．Objective:To study the relationship between diabetes mellitus and lacunar cerebral infarcts.Methods:195 cases of lacunar cerebral infarcts are studied retrospectively and divided into diabetes group and non diabetes group furthermore. Results:The prevalence of diabetes in patients with lacunar cerebral infarcts is 52.8%;death rate,multiple infarcts rate,mean cholesterol and triglyceride concentration are higher in diabetes group than those in non diabetes group [17.5% vs.2.2%, 68.9% vs.53.3%,(5.69±1.58) mmol/L vs (5.07±1.36) mmol/L,(1.60±1.19) mmol/L vs (1.20±0.8) mmol/L,respectively] value P<0.005,P<0.05,P<0.01,P<0.01 respectively. Conclusion:Diabetes is a high risk factor of lacunar cerebral infarcts, lacunar cerebral infarcts accompanying with diabetes are mainly multiple infarcts and death rate is higher.

关 键 词：糖尿病 腔隙脑梗塞 临床分析 诊断 危险因素 

分 类 号：R587.1[医药卫生—内分泌] R743.33[医药卫生—内科学]