2型糖尿病与脑梗死严重程度的相关性分析

目的探讨2型糖尿病与脑梗死严重程度的相关性。方法对258例脑梗死患者按有无2型糖尿病分组,在空腹血糖、神经功能缺损评分、合并高血压及影像学等方面进行了对照研究。结果(1)糖尿病组中患者合并高血压较对照组有明显增高(P<0.05)。(2)糖尿病组神经功能缺损评分重型的发生率较对照组也有显著性增高(P<0.01),而年龄、神经功能缺损评分轻型和中型与对照组相比则没有差异。(3)糖尿病组中多灶性梗死、大面积梗死所占比例明显较对照组高(P<0.05),而腔隙性梗死、混合性卒中及出血性梗死所占比率两组差异不显著,但两组中腔隙性梗死所占的比例均明显高于其他梗死类型。(4)两组患者相比较,梗死的发病部位没有显著性差异。

Study of Correlation Between Type 2 Diabetes Mellitus and Sever Level of Cerebral Infarction

OBJECTIVE In order to study the correlation between type 2 diabetes mellitus and sever level of cerebral infarction.METHODS 258 patients were divided into two groups according to whether with type 2 diabetes of not.A control study was performed to investigate two groups patients in the empty stomach blood sugar?degree of neurological function?incidence rates of hypertension and imageological feature.RESULT (1)The incidence rates of hypertension in diabetes group are significantly higher than those in non-diabetes (P<0.05).(2)severe type score of neurological function in diabetes group are also prominently higher than those in non-diabetes(P<0.01),whereas there were no significant difference in age?light and moderate neurological function defect between two groups.(3)The proportions of multiple infarction and massive infarction in diabetes group were remarkably higher than those in non-diabetes group(P<0.05).Nevertheless,there were no significant difference with respect of lacuna cerebral infarction?mixed stroke and hemorrhagic cerebral infarction between two groups.But the lacuna cerebral infarction in two groups is significant higher than other infarction type.(4)The locations of cerebral infarction have no marked difference between two groups.