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

目的:分析老年糖尿病患者合并无症状性脑梗死的临床特点及疗效.方法:将我院2009年1月至2010年6月收治的40例老年糖尿病合并无症状性脑梗死患者为观察组,非糖尿病患者合并无症状性脑梗死患者39例为对照组,对比两组患者头颅CT图像特点和血液生化指标如TC(总胆固醇)、TG(甘油三酯)、BMI(体重指数)、HDL-c(高密度脂蛋白)、FIB(纤维蛋白原)等指标.结果:对照组与观察组之间多灶性脑梗死具有显著性差异,TC、HDL-c、FIB、BIM的差异同样也有显著性.结论:老年糖尿病合并无症状性脑梗死多为多灶性脑梗死,老年糖尿病合并高TG、高TC、HDL-c降低或是肥胖的患者易患无症状性脑梗死.

Analysis of Clinical Characters and Effects in Elderly Diabetic Patients with Asymptomatic Cerebral Infarction

Objective: To analyze the clinical characters and effects in elderly diabetic patients with asymptomatic cerebral infarction.Method: 40 elderly diabetic patients with asymptomatic cerebral infarction were treated in our hospital from Jan.2009 to Jun.2010 in observing group and 39 diabetic patients without asymptomatic cerebral infarction in control group.Head CT image characteristics biochemical indicators such as the TC(total cholesterol),TG(triglyceride),BMI(body mass index),HDL-c(high density lipoprotein) and FIB(fibrinogen) and other indicators of the two groups were compared.Result: There’s significant difference in multifocal cerebral infarction between the control group and observation group,so were TC,HDL-c,FIB,BIM.Conclusion: There are more multifocal cerebral infarction in elderly diabetic patients with asymptomatic cerebral infarction,the elderly diabetic patients with high TG,TC,low HDL-c or obese patients are susceptible to get asymptomatic cerebral infarction.