Ⅱ型糖尿病患者并发脑梗塞的临床研究  

Clinical Study on Type Ⅱ Diabetes Mellitus Complicated with Cerebral Infarction

作　　者：范华[1] 樊伟生[1] 李晓萍[1] 

机构地区：[1]江西医学院第四附属医院心血管神经内科,江西南昌330002

出　　处：《现代诊断与治疗》2002年第3期142-144,共3页Modern Diagnosis and Treatment

摘　　要：目的　探讨糖尿病并发脑梗塞 (CI)时神经功能缺损程度、梗塞面积大小、多灶性梗塞、复发性梗塞与血糖水平的关系。方法　将 192例脑梗塞患者分为二组 :糖尿病并CI组 ,非糖尿病CI组 (对照组 ) ,对照分析了二组患者的血脂、血糖、血压、体重指数 (BMI)、梗塞面积、多灶性梗塞、复发性梗塞与血糖水平的关系。结果　糖尿病并CI组其血脂、大面积梗塞、多灶性梗塞、复发性梗塞神经功能损害程度较对照组显著增高。结论　糖尿病患者并发CI时 ,大面积梗塞、多灶性梗塞和复发性梗塞容易发生 ,且与血糖水平有明显的关系 。Objective To prove the relationship between nerve function defect,the area of the cerebral infarction foci,multi foci infarction,recurrent infarcton and the level of blood glucose in patients with type Ⅱ diabetes mellitus(DM) complicated with cerebral infarction(CI).Method 192 patients with CI were divided into DM complicated with CI group(n=78) and non DM CI(control) group(n=114).The relationship between blood lipid,blood glucose,blood pressure,body weight index(BMI),the area of CI,multi foci infarction and recurrent infarction and the level of blood glucose was comparatively analysed in the two groups.Results The blood lipid,large area CI,multi foci infarction,recurrent infarction and extent of never funciton defect obviously increased in the DM complicated CI group compared with the control group.Conclusions When DM complicates with CI,the large area infarction,multi foci infarction and recurrent infarction easily occur,and there are obvious relation to the level of blood glucose.However,obesity is another important reason of CI.

关 键 词：Ⅱ型糖尿病 脑梗塞 临床研究 并发症 肥胖 

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