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目的探讨老年ＮＩＤＤＭ患者合并急性脑梗死时血糖与病情严重程度及预后关系。方法对住院老年ＮＩＤＤＭ患者４１７例进行分析，其中８６例合并急性脑梗死（２０．６％）。按脑梗死严重程度分成轻、中、重３组，并按入院时血糖高低分成甲、乙、丙３组进行分析。结果老年ＮＩＤＤＭ合并脑梗死者以多发性梗死及椎基底动脉梗死为主（７９．１％）；入院时血糖水平愈高，病情愈重，病死率愈高（Ｐ＜０．０１）。结论高血糖是老年ＮＩＤＤＭ合并急性脑梗死预后不良的危险因素之一。
Objective To investigate the relationship between the severity of blood glucose and the prognosis of elderly NIDDM patients with acute cerebral infarction. Methods A total of 417 hospitalized elderly patients with NIDDM were analyzed, including 86 with acute cerebral infarction (20.6%). According to the severity of cerebral infarction into light, moderate and severe 3 groups, and according to the level of blood glucose at admission into A, B, C 3 groups were analyzed. Results The main causes of multiple infarction and vertebrobasilar infarction in elderly patients with NIDDM complicated by cerebral infarction were 79.1%. The higher blood glucose level, the heavier the disease and the higher mortality (P <0.01). Conclusion Hyperglycemia is one of the risk factors for poor prognosis in elderly patients with NIDDM and acute cerebral infarction.