老年糖尿病无症状性脑梗死危险因素及特点

Type 2 Diabetes Mellitus with Silent Brain Infarction the Risk Factors and Clinical Speciality

目的：探讨老年糖尿病合并无症状性脑梗死的危险因素及临床特点。方法：将2002年1月～2007年1月赤峰市医院门诊及住院老年糖尿病合并无症状性脑梗死57例为观察组，非糖尿病合并无症状性脑梗死54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：老年糖尿病合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。

Objective.To investigate the risk factors and clinical speciality of Type 2 diabetes mellitus with silent brain infarction. Methods. The cases were divided into two groups, the investigating group of 57 cases of Type 2 diabetes mellitus with silent brain infarction, the controlling group of 54 cases of non - diabetic with silent brain infarction. Observe their index of skull CT trait, TG, TC,BMI, HDL - C, fibrinogen, ect. Results. There was significant difference between Type 2 diabetes mellitus multimodal brain infarction and the controlling group on TC, BMI and HDL - C. Conclusions. Most 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.