论文部分内容阅读
目的:观察2型糖尿病对老年高血压脑梗死患者颈动脉粥样硬化的影响。方法:老年高血压脑梗死98例,根据患者是否合并2型糖尿病,分为老年高血压脑梗死合并2型糖尿病组(观察组)和老年高血压脑梗死未合并2型糖尿病组(对照组)各49例。采用彩色多普勒超声检测颈动脉粥样硬化斑块情况,并比较两组动脉粥样硬化斑块发生率、脑梗死初发和复发率。结果:观察组软斑、混合斑及硬斑发生率显著高于对照组(P<0.05)。观察组脑梗死初发率显著低于对照组(P<0.05),但复发率显著高于对照组(P<0.05)。结论:合并2型糖尿病的老年高血压脑梗死患者颈动脉粥样硬化情况更加严重,2型糖尿病对颈动脉粥样硬化斑块的形成和发展有加速作用。
Objective: To observe the effect of type 2 diabetes on carotid atherosclerosis in elderly patients with hypertensive cerebral infarction. Methods: A total of 98 elderly patients with hypertensive cerebral infarction were divided into two groups according to whether they had type 2 diabetes mellitus or not: type 2 diabetic mellitus with senile hypertensive cerebral infarction (control group) and type 2 diabetic mellitus (control group) 49 cases in each. Carotid artery atherosclerotic plaque was detected by color Doppler sonography. The incidence of atherosclerotic plaque and initial and recurrence of cerebral infarction were compared between the two groups. Results: The incidence of plaque, mixed plaque and plaque in observation group was significantly higher than that in control group (P <0.05). The incidence of cerebral infarction in observation group was significantly lower than that in control group (P <0.05), but the recurrence rate was significantly higher than that in control group (P <0.05). Conclusions: Carotid atherosclerosis is more severe in elderly hypertensive cerebral infarction patients with type 2 diabetes mellitus, and type 2 diabetes accelerates the formation and development of carotid atherosclerotic plaques.