老年糖尿病合并脑梗死58例临床分析

Clinical analysis on 58 elderly patients with type 2 diabetes mellitus with brain infarction

目的探讨老年糖尿病患者合并脑梗死的临床特点及危险因素。方法将南阳协和医院住院老年糖尿病合并脑梗死58例为观察组,非糖尿病并脑梗死56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,高密度脂蛋白、纤维蛋白、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、肥胖的患者易致脑梗死。

Objective To investigate the clinical specialty and risk factors of Type 2 diabetes mellitus with brain infarction. Methods The cases were divided into two groups, the investigating group of 58 cases of Type 2 diabetes mellitus with brain infarction, the controlling group of 56 cases of non-dlabetic with brain infarction. Observe their index of skull CT frait, TG, TC, BMI, Hdl-c, fibrinogen, etc. Results There was significant difference between Type 2 diabetes mellltus multifocal brain infarction and the controlling group on TC, BMI and HDI-c. Concluction Most of the type-diabetes mellitus with brain infarction is multifocal brain infarction. Type 2 diabetes mellitus with H-TC （hypertrig lyeeridemia）, H-TG, declining HDL-C or obesity pations are sensitive to brain infarction.