2型糖尿病合并脑梗死临床特点分析

Clinical Analysis of Type 2 Diabetic Patients with Cerebral Infarction

目的:分析2型糖尿病合并脑梗死临床特点。方法:选择2型糖尿病合并脑梗死患者65例为观察组,60例不伴有2型糖尿病的脑梗死患者为对照组。检测TC、TG、HDL、FIB及UA水平,分析其头颅CT扫描图像。结果:(1)观察组患者TC、TG、FIB、UA水平显著高于对照组,HDL水平显著低于对照组(P<0.05)。(2)观察组患者中多发脑梗死、大面积脑梗死及再发性脑梗死的比例显著高于对照组(P<0.05)。(3)观察组患者治疗有效率为70.8%,显著低于对照组的86.7%(P<0.05)。结论:2型糖尿病合并脑梗死患者合并血脂、UA及FIB代谢异常,治疗效果较差,应该积极控制血糖水平,采取积极的防治措施。

Objective：To analyze the characteristics of T2DM patients with cerebral infarction.Methods：65 T2DM patients with cerebral infarction were chosen as the observation group,60 cerebral infarction patients without T2DM were chosen as the control,TC,TG,HDL,FIB and UA levels were detected and Cranial CT scan images were analyzed.Results：（1）TC,TG,FIB and UA levels of the observation group were higher than the control,the HDL level were lower（P0.05）.（2）The proportion of multi-infarct、massive cerebral infarction and recurrent cerebral infarction were higher than the control（P0.05）.（3）The effective rate of the observation group were 70.8%,lower than the control（P0.05）.Conclusion：T2DM patients with cerebral infarction have abnormalities of lipid metabolic、UA and FIB,treatment less effect,we should take active preventive measures.