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目的探讨脑梗死合并糖尿病与单纯脑梗死患者的血脂、血糖及预后的差异。方法 152例急性脑梗死患者分为脑梗死并发糖尿病组(A组)、非糖尿病脑梗死组(B组)及一过性血糖升高脑梗死组(C组),对3组患者的头颅CT检查结果、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、极低密度脂蛋白胆固醇(VLDL-C)、血糖(FBG)水平以及神经功能缺损情况进行比较。结果与单纯脑梗死组相比,脑梗死合并糖尿病组和一过性血糖升高组患者病情重,脑梗死面积大,血脂水平明显升高,神经功能缺项程度严重。结论脑梗死合并糖尿病组的疗效及预后较非糖尿病组差,其不良预后与高血糖有关。
Objective To investigate the differences of blood lipids, blood glucose and prognosis between cerebral infarction patients with diabetes and simple cerebral infarction. Methods A total of 152 acute cerebral infarction patients were divided into three groups: cerebral infarction complicated with diabetes mellitus (group A), non-diabetic cerebral infarction (group B) and transient hyperglycemia induced by cerebral infarction (group C) The levels of total cholesterol, triglyceride, HDL-C, LDL-C, VLDL-C, Blood glucose (FBG) levels and neurological deficits were compared. Results Compared with simple cerebral infarction group, patients with cerebral infarction and transient hyperglycemia had severe illness, large cerebral infarction area, significantly elevated blood lipid levels and severe neurological deficits. Conclusion The curative effect and prognosis of cerebral infarction with diabetes mellitus group are worse than that of non-diabetic group, and its adverse prognosis is related to hyperglycemia.