糖尿病合并脑卒中的研究现状

Research on Status Diabetic Subjects with Stroke

脑卒中在人类死亡原因中排第3位,是造成严重残疾的首要原因,而且脑卒中的发病率呈明显的上升趋势。大量临床研究发现,糖尿病患者合并脑卒中的风险较非糖尿病患者显著提高,糖尿病是急性脑卒中的独立危险因素之一。并且糖尿病患者在脑卒中后的病死率和残障程度较非糖尿病患者明显升高。本文通过阐述糖尿病患者脑卒中的临床表现、脑损伤机制及预后的特点,以提高糖尿病性脑卒中的诊治效果,改善患者预后。

Stroke disease is the third cause of human death and the first reason of severe disability, and the prevalence of stroke disease is increasing. A great deal of clinical researches suggest that diabetic patients are associated with a higher risk of stroke disease than nondiabetic ones, and diabetes is one of the independent risk factors for acute stroke. The combination of diabetes and stroke disease has a higher morbidity and mortality than nondiabetic subjects. The aim of this article was to describe the epidemiology,clinical feature, pathogenesis and prognosis of stroke relating to diabetes. Identification of at-risk patients with diabetes has allowed the delivery of early and effective intervention to reduce stroke risks, while active treatment during the acute phase of stroke will reduce long-term neurological and functional deficts.