糖尿病前期与脑梗死的相关性研究

The Relationship between Pre-diabetes and Cerebral Infarction

目的探讨糖尿病前期对脑梗死病人在血脂、C反应蛋白、颈动脉粥样斑块及预后方面的影响。方法选取糖尿病前期与非糖尿病前期患者各30例,比较两组在血脂、C反应蛋白、颈动脉粥样硬化等方面的异常,并给予脑梗死正规治疗后比较两组预后的不同,应用统计学方法进行分析。结果两组病人在血脂水平、血黏度、颈动脉粥样硬化斑块、C反应蛋白、心电图异常等方面比较,差异有统计学意义(P<0.05)。非糖尿病前期组病人的痊愈率、显著进步率、显效率,明显高于糖尿病前期组(P<0.05)。结论糖尿病前期脑梗死患者在高血脂症、血黏度、C反应蛋白、颈动脉粥样斑块均明显有别于非糖尿病前期脑梗死患者,其预后也相对较差。所以,加强对糖尿病高危患者进行干预,能减少脑梗死发病率。

Objective To investigate the influence of prediabetic state over the levels of serum lipid,c-reactive protein,carotid atherosclerosis and prognosis in cerebral infarction patient.Methods To compare abnormality of the levels of serum lipid,c-reactive protein,carotid atherosclerosis between 30 prediabetic patients and 30 non-prediabetic patients,and analyses the difference of the two cerebral infarction groups after regular treatment.Results The levels of serum lipid,blood viscosity,carotid atherosclerotic plaque,c-reactive protein,anomalism of electrocardiogram had significant differences between two groups,data from statistical analysis indicated that recovery rate,predominance advance rate,excellence rate are higher in non-prediabetic group respectively.Conclusion The levels of serum lipid,blood viscosity,carotid atherosclerotic plaque,c-reactive protein were higher in prediabetic group,prognosis is poor obviously.Interference management seemed to decrease incidence rate of cerebral infarction in prediabetic patient.