胰岛素抵抗及其与缺血性脑血管病关系的研究

目的　研究胰岛素抵抗与缺血性脑血管病的关系。方法　通过阐述胰岛素抵抗、发病机制、诊断标准及其对机体的影响来说明胰岛素抵抗与缺血性脑血管病的关系。结果　胰岛素抵抗、高胰岛素血症存在于缺血性脑血管病的不同发展阶段 ,是缺血性脑血管疾病所固有的 ,亦贯穿于缺血性脑血管病的全过程 ,是导致其发病的极其重要的危险因素。结论　临床治疗中改善胰岛素抵抗、降低内源性高胰岛素的水平 ,对于减缓缺血性脑血管病的发生、发展具有重要意义。

Relation between Insulin Resistance and Ischemic Cerebral Vascular Disease

Objective To discuss the relation between the insulin resistance (IR) and ischemic cerebral vascular disease (ICVD). Methods The IR, pathogenesis of ICVD and diagnostic standard were discussed. Its affection to body was also analyzed. Results IR and hyperinsulinism were common and high risk factors in varied stage of ICVD and existed in whole period of ICVD. Conclusion The improvement of IR and fall of endogenous hyperinsulinism level could be important significance for reducing the occurrence and development of ICVD in clinic.