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目的 探讨糖尿病并发脑梗塞的临床特点和影响因素。方法 对63 例糖尿病脑梗塞(DMCI) 患者的临床特征进行分析, 并和糖尿病无脑梗塞(DMNCI) 组、非糖尿病脑梗塞(NDMCI) 组进行对照。结果 DMCI组的BMI和GHb比NDMCI组高, 而与DMNCI组无显著差别; 血脂紊乱和血液高凝状态在DMCI组最严重; DMCI组24小时尿白蛋白排泄率较DMNCI组明显升高; DMCI组感染率较NDMCI组高, 梗塞更常表现为多发性。结论 凝血机制异常和脂质代谢紊乱是糖尿病并发脑梗塞的两个重要危险因素。
Objective To investigate the clinical features and influencing factors of diabetes complicated with cerebral infarction. Methods The clinical features of 63 patients with diabetic cerebral infarction (DMCI) were analyzed and compared with DMNCI group and non-diabetic cerebral infarction group (NDMCI). Results The BMI and GHb in DMCI group were higher than those in NDMCI group and no significant difference with DMNCI group. The dyslipidemia and hypercoagulable state were the most serious in DMCI group. The urinary albumin excretion rate in 24 hours in DMCI group was significantly higher than that in DMNCI group. Group infection rate was higher than NDMCI group, infarction often showed multiple. Conclusions Abnormal coagulation and dyslipidemia are two important risk factors of diabetes complicated with cerebral infarction.