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目的探讨2型糖尿病并发急性脑血管病的临床特点,观察其与血脂的关系及预后。方法对于93例2型糖尿病并发急性脑血管病患者资料进行回顾性分析,并与同期100例非糖尿病性急性脑血管患者作对照。结果 2型糖尿病并发急性脑血管病以多发性腔隙性梗死为主要影像学表现(P<0.01),其血脂水平明显高于非糖尿病性急性脑血管病组(P<0.05)。当入院时神经功能缺损评分无显著差异时,2型糖尿病并发脑血管病组预后差(P<0.01)。结论糖尿病急性脑血管病以多发性腔隙性梗死多见,预后相对差,血脂高为其主要的危险因素之一。
Objective To investigate the clinical features of type 2 diabetes mellitus complicated with acute cerebrovascular disease and to observe its relationship with serum lipids and its prognosis. Methods The data of 93 patients with type 2 diabetes mellitus complicated with acute cerebrovascular disease were retrospectively analyzed and compared with 100 patients with non-diabetic acute cerebrovascular disease during the same period. Results The main manifestations of multiple cerebrovascular disease were type 2 diabetes mellitus complicated with acute cerebrovascular disease (P <0.01), and the level of serum lipids was significantly higher than that of non - diabetic acute cerebrovascular disease group (P <0.05). When there was no significant difference in neurological deficit scores on admission, the prognosis of type 2 diabetic patients with cerebrovascular disease was poor (P <0.01). Conclusions Acute cerebrovascular disease of diabetes is more common with multiple lacunar infarcts, with a relatively poor prognosis and high blood lipids as one of the major risk factors.