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糖尿病前期与缺血性卒中
引用本文:王彤,张金彪,李振光,崔兴华,阎朝阳,于雯雯. 糖尿病前期与缺血性卒中[J]. 国际脑血管病杂志, 2017, 25(4). DOI: 10.3760/cma.j.issn.1673-4165.2017.04.009
作者姓名:王彤  张金彪  李振光  崔兴华  阎朝阳  于雯雯
作者单位:滨州医学院附属威海市立医院神经内科, 威海,264200
摘    要:
糖尿病前期是介于血糖代谢正常与糖尿病之间的一种糖代谢状态.糖尿病前期不仅增高卒中的发生和复发风险,而且也会影响卒中转归.糖尿病前期主要通过胰岛素抵抗、血脑屏障受损等引起缺血性卒中.非药物或药物干预可延缓糖尿病前期向糖尿病转化的进程,并降低卒中发病和复发风险.

关 键 词:卒中  脑缺血  糖尿病,2型  糖尿病前期  葡糖耐受不良  复发  二级预防  危险因素  降血糖药

Prediabetes and ischemic stroke
Wang Tong,Zhang Jinbiao,Li Zhenguang,Cui Xinghua,Yan Zhaoyang,Yu Wenwen. Prediabetes and ischemic stroke[J]. International Journal of Cerebrovascular Diseases, 2017, 25(4). DOI: 10.3760/cma.j.issn.1673-4165.2017.04.009
Authors:Wang Tong  Zhang Jinbiao  Li Zhenguang  Cui Xinghua  Yan Zhaoyang  Yu Wenwen
Abstract:
Prediabetes is a glucose metabolism status between normal glucose metabolism and diabetes.It can not only increase the risks of occurrence and recurrence of stroke, but also affect stroke outcomes.Prediabetes causes ischemic stroke mainly through the insulin resistance and blood-brain barrier damage.Non-drug or drug intervention in patients with prediabetes can delay progression from prediabetes to diabetes and reduce the risks of occurrence and recurrence of stroke.
Keywords:Stroke  Brain Ischemia  Diabetes Mellitus  Type 2  Prediabetic State  Glucose Intolerance  Recurrence  Secondary Prevention  Risk Factors  Hypoglycemic Agents
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