糖尿病患者卒中亚型和住院死亡率的预测  

Diabetes patients with stroke subtypes and in-hospital mortality prediction

作　　者：刘舒洁[1] 李玉旺[2] 贾跃华[1] 

机构地区：[1]天津市黄河医院急诊科,天津300110 [2]天津市环湖医院

出　　处：《中国城乡企业卫生》2016年第9期140-141,共2页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的比较缺血性中风患者糖尿病患病情况及其差异。方法在1840例缺血性卒中患者中糖尿病确诊出393例(21.3%),对人口学特征、心血管性危险因素、临床事件、卒中亚型、缺血性中风患者得糖尿病与否进行组间的差异比较。结果得糖尿病的患者与未得糖尿病的相比更易得动脉粥样硬化(41.2%和27.0%)和腔隙性脑梗死(35.1%和23.9%),两者比较差异有统计学意义(P<0.01),在缺血性卒中发作的住院患者中,得糖尿病患者与未得糖尿病患者的死亡率分别为12.5%和14.6%,缺血性心脏病、高脂血症、亚急性发作、≥85岁、动脉粥样硬化和腔隙性脑梗死丘脑形态与缺血性卒中发作患者是否得糖尿病有关。结论缺血性卒中合并糖尿病患者与缺血性卒中无合并糖尿病的患者相比拥有不同的临床表现。Objective To compare the characteristics and prognostic features of ischemic stroke in patients with diabetes and without diabetes. Methods Diabetes was diagnosed in 393（21.3%） of 1 840 patients with cerebral infarction. Demographic characteristics, cardiovascular risk factors, clinical events, stroke subtypes, neuroimaging data, and outcome in ischemic stroke patients with and without diabetes were compared. Results Patients with diabetes compared to people without diabetes presented more frequently atherothrombotic stroke （41.2% vs 27% ） and lacunar infarction （35.1%vs23.9%） （P〈0.01 ）. The in-hospital mortality in isehemic stroke patients with diabetes was 12.5% vs 14.6% in those without diabetes. Ischemie heart disease, hyperlipidemia, subacute onset, aged more than 85 years old, atherothrombotic and lacunar infarcts, and thalamie topography were independently associated with ischemic stroke in patients with diabetes. Conclusion Clinical features were different in patients with ischemie stroke combined with diabetes in comparson of patients with out dibetes.

关 键 词：糖尿病 脑梗死 卒中亚型 

分 类 号：R332[医药卫生—人体生理学]