糖尿病患者脑卒中预防

Prevention of Stroke in Diabetes

卒中的大量流行病学研究证实:糖尿病是缺血性卒中的一个重要危险因素。糖尿病患者患脑卒中的风险是非糖尿病患者的2～3倍,有致死率高、致残率高、恢复缓慢的特点。缺血性脑血管病急性期和恢复期的血糖水平对其患卒中的危险性起决定性作用。此外,在调脂、抗凝、改善血小板功能等方面积极主动地干预治疗对糖尿病患者卒中的一、二级预防有着重要的意义。

Epidemiologic studies of the prevalence of stroke reliably identify diabetes(predominantly type 2)as a risk factor for ischaemic stroke,possibly dependant upon the degree of co-factor analysis undertaken,most suggest a risk between two and three times that for the non-diabetic population.Meanwhile the outcome following cerebrovascular event is worse in pa- tients with diabetes,with higher mortality,less complete and slower recovery and higher final dependence scores for equivalent sized infarcts occurring in the non-diabetic population.The absolute glucose level during and after an ischaemic event is an im- portant determinant of this risk,An aggressive interventional approach to the primary and secondary prevention of strokes in the diabetic population is very necessary.