老年糖尿病无症状性脑梗死38例临床分析

Type 2 diabetes mellitus with silent brain infarction:clinical analysis of 38 cases

目的探讨老年糖尿病患者合并无症状性脑梗死的临床特点及危险因素。方法2000-01～2004-10将广东省茂名市人民医院门诊及住院老年糖尿病并无症状性脑梗死38例为观察组,非糖尿病并无症状性脑梗死36例为对照组,比较两组头颅CT特点及血胆固醇、甘油三酯、体重指数、高密度脂蛋白、纤维蛋白原等指标。结果老年糖尿病组多灶性脑梗死与非糖尿病组之间的差异具有显著性,血胆固醇、高密度脂蛋白、纤维蛋白原、体重指数的差异亦有显著性。结论老年糖尿病并无症状性脑梗死以多灶性脑梗死多见,老年糖尿病合并高甘油三酯、高胆固醇、高密度脂蛋白降低、肥胖的患者易致无症状性脑梗死。

ObjectiveTo investigate the clinical specialty and risk factors of Type 2 diabetes mellitus with silent brain infarction.MethodsThe cases were divided into two groups,the investigating group of 38 cases of Type 2 diabetes mellitus with silent brain infarction,the controlling group of 36 cases of non-diabetic with silent brain infarction.Observe their index of skull CT trait ,TG,TC,BMI ,HDL-c,fibrinogen,etc.ResultsThere was significant difference between Type 2 diabetes mellitus multifocal brain infarction and the controlling group on TC,BMI and HDL-c.ConclusionMost of the Type 2 diabetes mellitus with silent brain infarction is multifocal brain infarction.Type 2 diabetes mellitus with H-TC(hypertriglyceridemia),H-TG,declining HDL-c or obesity patients are sensitive to silent brain infarction.