脑梗死合并2型糖尿病患者的病变特点和危险因素分析  

Analysis of pathological features and risk factors for patients with type 2 diabetes and cerebral infarction

作　　者：任洁明[1] 

机构地区：[1]江苏昆山市第一人民医院神经内科,昆山215300

出　　处：《中国实用神经疾病杂志》2015年第6期36-37,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析脑梗死患者合并2型糖尿病的病变特点及相关危险因素。方法选取在我院住院治疗的100例脑梗死患者,50例脑梗死合并糖尿病患者为实验组,50例脑梗死未合并糖尿病的老年患者为对照组,对2组患者不同的患病情况进行观察和分析。结果实验组患者平均腰围(85.6±2.3)cm、体重指数(27.63±2.1)kg/m2明显高于对照组;实验组合并高血压、血脂水平异常、糖化血红蛋白异常患者明显多于对照组;实验组发生多灶性梗死的患者明显多于对照组,差异有统计学意义(P<0.05),其他梗死部位差异无统计学意义(P>0.05)。结论脑梗死合并糖尿病的老年患者病变特点主要为大面积梗死、多病灶性梗死的比例较高,发生该病的危险因素包括高血脂、高血压、高血糖、高体重指数等。临床上应通过药物、控制体质量等方面改善患者的健康情况,使患者有主动意识去控制血压、血糖、血脂、体质量等,达到预防疾病的目的。Objective To analyze the pathological features and risk factors for patients with type 2 diabetes and cerebral infarction. Methods 100 elderly patients with type 2 diabetes in our hospital were selected and divided into two groups ,50 ca-ses with cerebral infraction in experimental group ,while the rest without cerebral infraction in control group ,observing and an-alyzing different situations of two groups. Results The average waistline ,body mass index （BMI） and cases with hyperten-sion ,dyslipidemia ,abnormal glycosylated hemoglobin in experimental group were all significantly higher than those in control group （P〉 0.05）.Meanwhile ,large infarction（30% ） ,multifocal infarction （40% ） in experimental group were significant higher than those in control group. Conclusion The main pathological features for elderly patients with type 2 diabetic and cer-ebral infarction may be large and multifocal infarction ,and the risk factors may include hypertension ,hyperlipidemia ,high blood glucose and so on.

关 键 词：2型糖尿病 脑梗死 病变特点 相关危险因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]