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目的 :研究胰岛素抵抗 ( IR)与缺血性脑血管病之间的关系。方法 :选取脑梗死病人作为研究对象 ,测定血糖 ( FG)、胰岛素 ( FINS)、C-P等指标 ,以胰岛素敏感指数 ( ISI)与对照组比较。结果 :FINS、C-P和 ISI均有显著性差异 ,ISI与 FINS和 C-P存在极显著负相关 ,C-P与 FINS存在极显著正相关 ,与 ISI存在极显著负相关。结论 :IR是脑梗死极其重要的危险因素。高胰岛素血症可以作为粗略衡量 IR的指标。空腹血清 C-P水平是一个衡量 IR的更准确的指标。
Objective: To study the relationship between insulin resistance (IR) and ischemic cerebrovascular disease. Methods: The patients with cerebral infarction were selected as the research object, and the indexes of blood glucose (FG), insulin (FINS) and C-P were measured and compared with the control group by insulin sensitivity index (ISI). Results: There were significant differences between FINS, C-P and ISI. There was a significant negative correlation between ISI and FINS and C-P. There was a significant positive correlation between C-P and FINS, and a significant negative correlation between ISI and ISI. Conclusion: IR is an extremely important risk factor for cerebral infarction. Hyperinsulinemia can be used as a rough measure of IR. Fasting serum C-P levels are a more accurate measure of IR.