糖尿病合并急性缺血性脑卒中的临床探讨  

The Clinical Study of Diabetes Mellitus with Acute Ischemic Stroke

作　　者：谢玉谦 周龙[1] 陈亚利[1] 张文凤[1] 叶晓敏[1] 伍珊[1] 陈萍[1] 

机构地区：[1]四川省西昌市人民医院,四川西昌615000

出　　处：《中国医学创新》2013年第12期52-54,共3页Medical Innovation of China

摘　　要：目的:探讨糖尿病并急性缺血性脑卒中的临床特点。方法:对糖尿病并急性缺血性脑卒中与非糖尿病并急性缺血性脑卒中作对比分析,比教HbA1C、LDL、TG、HDL、TC、PLT、Fib、BMI、高血压及吸烟史的关系。结果:糖尿病并急性缺血性脑卒中组与非糖尿病并急性缺血性脑卒中组TC、BMI、PLT及吸烟史比较,差异无统计学意义(P>0.05);两组HbA1C、LDL、TG、HDL、Fib及高血压差异有统计学意义(P<O.05)。两组LDL、TG、TC、HDL、Fib、BMI均超过正常值范围。结论:糖尿病合并缺血性脑卒中存在多种危险因素,对患者进行生活方式干预、控制血糖、控制血压、调脂和抗血小板聚集等综合治疗是减缓脑卒中发生的措施。Objective： To study the clinical characteristics of diabetes mellitus with acute ischemic stroke. Method： Contrast and analyse the diabetes mellitus associatived with acute ischemic stroke to the non one.Moreover compare the relationship of HbA1C, LDL, TG, HDL, TC, PLT , Fib, BMI, History of smoking and Primary hypertension between two groups. Result： There was no statistical significance （ P〉0.05 ） to compare the difference of TC, BMI, PLT, History of smoking between diabetes mellitus with acute ischemic stroke and the non one. However there being statistical significance （ P〈0.05 ） to compare the difference of HbA1C, LDL, TG, HDL, Fib, Primary hypertension between two groups. Target about LDL, TG, TC, HDL, Fib, BMI all overrun the normal range in two groups.Conclusion： There being multiple risk factors in the Diabetes mellitus with ischemic stroke. The lifestyle intervention, control of blood glucose and blood pressure , lipid modification . antiplatelet conglomeration and other comprehensive treatment is effective measures which can slow down the occurrence of stroke.

关 键 词：糖尿病 急性缺血性脑卒中 高血压 血脂异常 

分 类 号：R743.3[医药卫生—神经病学与精神病学]