老年糖尿病合并无症状性脑梗死患者的临床特点及疗效分析

The Elderly Diabetic Patients with Asymptomatic Cerebral Infarction Clinical Characteristics and Curative Effect Analysis

目的:探讨老年糖尿病合并无症状性脑梗死的患者的临床特点及效果。方法:通过对2004年1月-2014年12月在本院就诊的50例单纯SCI患者及43例合并2型糖尿病患者进行回顾性分析,将其分为SCI组和糖尿病组,比较两组患者的临床表现、头部CT检查结果及血流变学检查结果的差异。结果:两组在头晕、睡眠质量差、头痛、肢体麻木、耳鸣、视物眩晕、记忆力下降、行走缓慢、饮水呛咳等临床症状比较差异无统计学意义。糖尿病组患者脑部CT结果显示梗死病灶为2个的居多,其次为≥3个病灶;而SCI组患者中,多为1个病灶,两组比较差异具有统计学意义(P<0.05)。糖尿病组患者血液中胆固醇、TG和纤维蛋白原水平显著高于SCI组患者,高密度脂蛋白的含量则显著低于SCI组患者,两组比较差异具有统计学意义(P<0.05)。结论:老年糖尿病患者合并SCI临床上没有明显的临床表现,常以多病灶梗死的情况发病,临床的对于此类疾病应以预防为主,防治结合,临床上应多注意患者血流变学相关指标的变化,预防脑卒中的发生。

Objective： To study the elderly diabetic asymptomatic cerebral infarction patients with the clinical characteristics and treatment effect. Method： From January 2004 to December 2004 in our hospital, 50 SCI patients and 43 type 2 diabetes mellitus and SCI patients were retrospectively analyzed, they were divided into SCI group and diabetes group. To compare clinical manifestations, head CT examination results and hemorrheology learn differences between the test results of the two groups. Result： There was no significant statistical difference in dizziness, poor quality of sleep, headache, numbness, tinnitus, dizziness, memory decline in vision, walking slowly, water choking cough clinical symptoms such between the two groups. For patients in the diabetes group, brain CT showed infarction lesions in the majority for 2, followed by three or more lesions, and in patients with SCI group, there was one more lesions. The result showed statistically difference comparison of the two groups （P〈0.05） . Blood cholesterol, TG and fibrin value of the diabetes group was significantly higher than that of SCI group, and high-density lipoprotein cholesterol （ hdl-c ） levels was significantly lower, which showed statistically difference （ P〈0.05 ） . Conclusion： Elderly patients with diabetes merged SCI clinically have no obvious clinical manifestations, often in multiple focal infarction onset, clinical for these diseases should give priority to in order to prevent and control combined with clinical patients show to learn relevant indicators should pay more attention to the change, prevent the happening of the stroke.