86例2型糖尿病发生脑梗死临床回顾性分析(1)
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[摘要] 目的：探讨2型糖尿病患者发生脑梗死的危险性及防治方法。方法：回顾性分析我院180例2型糖尿病患者中86例发生脑梗死的临床资料。结果：脑梗死组86例：平均年龄(63.19±4.62)岁；糖尿病史5年以上52例(60%)；血糖控制不理想47例(55%)；伴有高血压或高脂血症56例(65%)。非脑梗死组94例：平均年龄(56.38±2.81)岁；糖尿病史5年以上23例(24%)；血糖控制不理想12例(13%)；伴有高血压或高脂血症20例(21%)。结论：年龄大、病程长、伴有高血压或高脂血症、血糖控制不理想可增加2型糖尿病发生脑梗死的危险性。控制血糖至理想状态和积极治疗合并症(高血压、高脂血症)对降低2型糖尿病患者脑梗死的发病率至关重要。
[关键词] 2型糖尿病；脑梗死；回顾性分析
[中图分类号]R587.2 [文献标识码] C[文章编号] 1673-7210(2009)06(c)-127-02
Clinical retrospective analysis of 86 cases of type 2 diabetes with cerebral infarction
CHEN Junhua, LUO Guanghui,WU Shuisheng
(Emergency Department, Ji'an Central People's Hospital, Ji'an 343000,China)
[Abstract] Objective: To investigate the risk of cerebral infarction of patients with type 2 diabetes and control methods. Methods: Retrospectively analyzed the clinical data of 180 cases of hospital patients with type 2 diabetes, in which cerebral infarction occurred in 86 cases. Results: 86 cases of cerebral infarction group: the average age was(63.19±4.62) years; 52 cases (60%)with a history of diabetes for more than 5 years;47 cases(55%) was unsatisfactory with blood glucose control; 56 cases(65%) with hypertension or hyperlipidemia.94 cases of non-cerebral infarction group: the average age was (56.38±2.81) years; 23 cases(24%) with a history of diabetes for more than 5 years; blood glucose control was unsatisfactory in 12 cases(13%); with hypertension or hyperlipidemia in 20 cases(21%). Conclusion: The age, course length, accompanied by hypertension or hyperlipidemia and unsatisfactory glycemic control in type 2 diabetes increase the risk of occurrence of cerebral infarction. Control of blood glucose to the ideal state and active treatment of complications (hypertension, hyperlipidemia) for patients with type 2 diabetes is essential to reduce the incidence of cerebral infarction.
[Key words] Type 2 diabetes; Cerebral infarction; Retrospective analysis
糖尿病是由多种原因引起的代谢紊乱综合征，并发症较多。主要是糖尿病患者血液高凝改变血液流变学，易损伤大、中、小、微血管致动脉硬化，脑血管多易损伤发生缺血性改变致脑梗死，使患者致残率逐渐增高。本文旨在通过对我院神经内分泌科2006年8月～2007年12月收治的180例2型糖尿病患者(其中86例发生脑梗死)的临床资料行统计学及流行病学分析 ......
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