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目的探讨糖尿病性脑血管病与非糖尿病性脑血管病临床过程的异同,以提高临床医生的诊断措施。方法选择糖尿病性脑血管病患者204例作为观察组,随机抽样非糖尿病性脑血管病患者200例作为对照组。对2组患者的临床表现、CT检查、重要的生化指标和疗效评定进行对比分析。结果2组患者在发病年龄、肢体瘫痪、生化指标及疗效标准方面存在差异或显著性差异。结论糖尿病是脑血管病重要的易发因素;有糖尿病史的脑血管病患者,多发性脑梗死发生率高于无糖尿病史的脑血管患者;二者在血脂、纤维蛋白原及疾病转归方面也有显著性差异。
Objective To explore the similarities and differences between the clinical course of diabetic cerebrovascular disease and non-diabetic cerebrovascular disease so as to improve the diagnosis of clinicians. Methods 204 patients with diabetic cerebrovascular disease were selected as the observation group, and 200 patients with non-diabetic cerebrovascular disease were randomly selected as the control group. Two groups of patients with clinical manifestations, CT examination, important biochemical indicators and efficacy evaluation for comparative analysis. Results The two groups of patients in the age of onset, limb paralysis, biochemical indicators and efficacy standards there are differences or significant differences. Conclusions Diabetes mellitus is an important predisposing factor for cerebrovascular disease. The incidence of multiple cerebral infarction in patients with cerebrovascular disease with diabetes mellitus is higher than that in patients without diabetes mellitus. Both of them have significant differences in serum lipid, fibrinogen and disease outcome There are also significant differences.