《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (9): 861-862.

• 论文 • 上一篇    下一篇

伴或不伴糖尿病脑梗死患者的临床比较

张鸣1，张金声1,3，毕嘉璥1，韩琤琤1，黄永禧2   

  1. 1.北京市西城区德胜社区卫生服务中心，北京市 100120；2.北京大学第一医院物理医学与康复科，北京市 100034。
  • 收稿日期:2011-06-09 修回日期:1900-01-01 出版日期:2011-09-25 发布日期:2011-09-25
  • 通讯作者: 张金声

Clinical Features of Cerebral Infarction with or without Diabetes Mellitus

ZHANG Ming, ZHANG Jin-sheng, BI Jia-jing, et al.   

  1. Desheng Community Healthy Centre, Beijing 100120, China
  • Received:2011-06-09 Revised:1900-01-01 Published:2011-09-25 Online:2011-09-25

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摘要： 目的探讨并发糖尿病的脑梗死患者的临床特征。方法对住院治疗的80 例并发糖尿病的脑梗死患者(糖尿病组)及86 例无糖尿病的脑梗死患者(对照组)进行回顾性分析，对比两组患者血糖、血脂、血尿酸、血液流变学、颈动脉超声等检测结果。结果糖尿病组总胆固醇(TCHO)、低密度脂蛋白(LDL-C)、血尿酸(UA)水平大于对照组(P<0.05)；而高密度脂蛋白(HDL-C)水平低于对照组(P<0.05)；血流变学指标除红细胞比容外，各指标两组间均有非常显著性差异(P<0.01)。糖尿病组的颈动脉内膜中层厚度(IMT)较对照组增加(P<0.05)。结论并发糖尿病的脑梗死患者血脂代谢紊乱更为严重，血尿酸及血液流变学指标升高，颈动脉内膜中层厚度增加。

关键词: 糖尿病, 脑梗死, 临床特征

Abstract: Objective To investigate the clinical features of cerebral infarction complicated with diabetes mellitus (DCI) compared withthose without diabetes mellitus (NCI). Methods 80 DCI and 86 NCI hospitalized patients were reviewed with their serumal glucose, lipid,uric acid, hemorheology and carotid ultrasound. Results The total cholesterol, low density lipoprotein and uric acid were significantly higherin DCI group than in NCI group (P<0.05), while high density lipoprotein was significantly lower (P<0.05). There were significant differencesbetween these two groups in Hemorheological indicators except hematokrit (P<0.01). The carotid intima media thickness (IMT) wassignificantly higher in the DCI group than in the NCI group (P<0.05). Conclusion DCI patients suffered in more serious lipid, uric acid,hemorheological disorder, and IMT compared with NCI.

Key words: diabetes mellitus, cerebral infarction, clinical features