2型糖尿病合并缺血性脑卒中临床特点及相关危险因素分析  

Analysis of Clinical Features and Relevant Risk Factors of Type Ⅱ Diabetes Complicated with Ischemic Stroke

作　　者：叶珂杏 范良敏[1] YE Kexing FAN Liangmin(Department of Endocrinology and Metabolism , Guizhou Medical University, Guiyang , Guizhou 55000)

机构地区：[1]贵州医科大学附院内分泌科,贵州贵阳550004

出　　处：《贵州医科大学学报》2016年第10期1231-1234,1240,共5页Journal of Guizhou Medical University

摘　　要：目的:探讨2型糖尿病合并缺血性脑卒中的临床特点和危险因素。方法:544例2型糖尿病患者按是否合并缺血性脑卒中分为合并脑卒中组及单纯糖尿病组,比较不同性别的2型糖尿病合并缺血性脑卒中患病率,比较两组患者年龄、吸烟、饮酒、血压及各生化指标,采用多元Logistic回归分析2型糖尿病合并缺血性脑卒中的危险因素。结果:女性2型糖尿病合并缺血性脑卒中患病率高于男性,合并脑卒中组高血压患病率高于单纯糖尿病组;多元Logistic回归分析结果显示年龄、糖尿病病程、尿Alb/Cr及颈动脉斑块是2型糖尿病合并缺血性脑卒中的危险因素。结论:2型糖尿病合并缺血性脑卒中以女性居多,其重要危险因素是高龄、糖尿病病程、颈动脉斑块和尿Alb/Cr升高。Objective： To investigate the clinical features and risk factors of type Ⅱ diabetic patients complicated with ischemic stroke. Methods： A total of 544 patients with type Ⅱ diabetes patients were divided into type Ⅱ diabetes group and complicated with ischemic stroke group. Comparing case rate of type Ⅱ diabetic patients complicated with ischemic stroke of different genders,comparing differences of age,smoking history,drinking history,blood pressure and various bio-chemical indexes; adapting Multiple Logistic Regression Analysis to analyze risk factors of type Ⅱ diabetic patients complicated with ischemic stroke. Results： The prevalence rate of the females is higher than the males,Hypertension in type Ⅱ diabetes mellitus complicated with ischemic stroke group is higher than that of type Ⅱ diabetic group; Multiple Logistic Regression Analysis indicated that age,duration of diabetes,Alb / Cr and plaque of carotid artery are the parameters of the equation. Conclusion： Type Ⅱdiabetic complicated with ischemic stroke in women are the majority; the important risk factors are age,duration of diabetes,carotid artery plaque and Alb / Cr.

关 键 词：糖尿病 非胰岛素依赖型 脑梗塞 脑缺血 危险因素 

分 类 号：R587.1[医药卫生—内分泌] R743[医药卫生—内科学]