糖尿病与非糖尿病患者脑血管病变的比较

本文回顾性地分析了我院近10年来糖尿病与非糖尿病患者脑血管病变的临床特点。糖尿病患者共998例,合并脑血管病241例,同期全部脑血管病变1403例。241例中脑血栓形成222例(92.1％)明显高于非糖尿病脑血栓形成(788/1162例,67.8％)。糖尿病合并脑出血(3.3％)明显低于非糖尿病脑出血(22.8％)。血糖增高明显,血清甘油三酯较低,未治疗者和胰岛素治疗者脑血栓形成时病情较重。老年,高血糖,高血脂,高血压等均为糖尿病合并脑血管病变的危险因素。

Comparison of cerebrovascular diseases in diabetics and non diabetics

The clinical features of cerebrovascular diseases in diabetics and non-diabetics admitted to our hospital in last 10 years were analysed retrospectively. Among 998 cases of diabetes mellitus 241 had cerebrovascular diseases. There were 1162 cases of cerebrovascular diseases without diabetes. The prevalence of cerebral thrombosis in diabetics was markedly higher (92.1%) than that of non-diabetic patients (67.9%), the prevalence of cerebral hemorrhage in diabetics (3.3%) was much lower than that of non-diabetics (22.8% , P<0.01)The cerebral thrombosis patients with higher blood sugur, lower serum triglyceride, not-treated for diabetes or even treated with insulin had serious cerebrovascular disease on admission. The risk factors of cerebrovascular diseases in diabetics are aging, hyperglycemia, hyperlipemia, and hypertension.