老年糖尿病合并脑梗死58例临床分析

目的 探讨老年糖尿病患者合并脑梗死的临床特点及危险因素。方法 将南阳协和医院住院老年糖尿病合并脑梗死58例为观察组，非糖尿病并脑梗死56例为对照组，比较两组头颅CT特点及血胆固醇、甘油三醇、体重指数、高密度脂蛋白、纤维蛋白等指标。结果 老年糖尿病组多灶性脑梗死与非糖尿病组之间的差异具有显著性，高密度脂蛋白、纤维蛋白、体重指数的差异亦有显著性。结论 老年糖尿病并无症状性脑梗死以多灶性脑梗死多见，老年糖尿病合并高甘油三酯、高胆固醇、高密度脂蛋白降低、肥胖的患者易致脑梗死．

Clinical analysis on 58 elderly patients with type 2 diabetes mellitus with brain infarction

Objective To investigate the clinical specialty and risk factors of Type 2 diabetes mellitus with brain infarction.Methods The cases were divided into two groups,the investigating group of 58 cases of Type 2 diabetes mellitus with brain infarction,the controlling group of 56 cases of non-diabetic with brain infarction.Observe their index of skull CT frait,TG,TC,BMI,Hdl-c,fibrinogen,etc.Results There was significant difference between Type 2 diabetes mellitus multifocal brain infarction and the controlling group on TC,BMI and HDl-c.Concluction Most of the type-diabetes mellitus with brain infarction is multifocal brain infarction.Type 2 diabetes mellitus with H-TC(hypertrig lyceridemia),H-TG,declining HDL-C or obesity pations are sensitive to brain infarction.