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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 prevalence of diabetes mellitus and its difference in patients with ischemic stroke. Methods A total of 393 patients (21.3%) with diabetes were diagnosed in 1840 patients with ischemic stroke. The demographic characteristics, cardiovascular risk factors, clinical events, stroke subtypes and ischemic stroke patients were compared among groups Comparison of differences. Patients with diabetes were more likely to have atherosclerosis (41.2% vs 27.0%) and lacunar infarcts (35.1% vs 23.9%) than those without diabetes (P < 0.01). Among the hospitalized patients with ischemic stroke, the death rates of diabetic patients and those without diabetes were 12.5% and 14.6% respectively. Ischemic heart disease, hyperlipidemia, subacute seizures, ≥85 Age, atherosclerosis, and lacunar infarction are associated with the presence of diabetes in the thalamus of ischemic stroke patients. Conclusions Patients with ischemic stroke with diabetes have different clinical manifestations than those with ischemic stroke without diabetes.