糖尿病与腔隙脑梗塞

DIABETES MELLITUS AND LACUNAR CEREBRAL INFARCTS

目的：研究糖尿病与腔隙脑梗塞的关系。方法：对１９５例腔隙脑梗塞作回顾分析，根据是否合并糖尿病将其分为糖尿病组及非糖尿病组，进行对照研究。结果：腔隙脑梗塞中糖尿病发病率为５２．８％；糖尿病组死亡率１７．５％，多发梗塞率６８．９％，平均胆固醇（５．６９±１．５８）ｍｍｏｌ／Ｌ，甘油三酯（１．６０±１．１９）ｍｍｏｌ／Ｌ，均高于非糖尿病组，非糖尿病组上述指标分别为２．２％、５３．３％，（５．０７±１．

Objective:To study the relationship between diabetes mellitus and lacunar cerebral infarcts.Methods:195 cases of lacunar cerebral infarcts are studied retrospectively and divided into diabetes group and non diabetes group furthermore. Results:The prevalence of diabetes in patients with lacunar cerebral infarcts is 52.8%;death rate,multiple infarcts rate,mean cholesterol and triglyceride concentration are higher in diabetes group than those in non diabetes group [17.5% vs.2.2%, 68.9% vs.53.3%,(5.69±1.58) mmol/L vs (5.07±1.36) mmol/L,(1.60±1.19) mmol/L vs (1.20±0.8) mmol/L,respectively] value P<0.005,P<0.05,P<0.01,P<0.01 respectively. Conclusion:Diabetes is a high risk factor of lacunar cerebral infarcts, lacunar cerebral infarcts accompanying with diabetes are mainly multiple infarcts and death rate is higher.