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伴糖尿病的脑梗死患者脑血流量的研究
引用本文:李飞 谷德祥. 伴糖尿病的脑梗死患者脑血流量的研究[J]. 中国全科医学, 1999, 2(4): 271-273
作者姓名:李飞 谷德祥
作者单位:上海市纺二医院神经内科!上海200090(李飞,谷德祥),上海市纺二医院神经内科!200090(曹中柱,吴焱)
摘    要:研究伴糖尿病的脑梗死患者脑血流量。方法随机选择41例单纯脑梗死、44例伴高血压病的脑梗死、38例伴糖尿病脑梗死、42例伴糖尿病和高血压病的脑梗死患者,以133Xe吸入法测定脑血流量,并在恢复期复查。结果另3种类型脑梗死患者脑血流量下降均较单纯脑梗死明显,P<0.05~0.01;巨以伴糖尿病和高血压病的脑梗死患者尤明显,与其他类型比较,P<0.01;恢复期单纯脑梗死患者脑血流量与正常对照组相似,而其他类型脑梗死虽改善,但仍低于正常对照组,P<005~0.01,且以伴糖尿病和高血压病者脑血流量恢复最差。结论糖尿病合并高血压病进一步减少脑梗死患者脑血流量。

关 键 词:脑梗死  高血压病  非胰岛素依赖性糖尿病  脑血流量

Study of cerebral blood flow in patients with cerebral infarction and NIDDM
Li Fei, Gu Dexiang,Cao Zhongzhu,et al.. Study of cerebral blood flow in patients with cerebral infarction and NIDDM[J]. Chinese General Practice, 1999, 2(4): 271-273
Authors:Li Fei   Gu Dexiang  Cao Zhongzhu  et al.
Abstract:Objective To study cerebral blood flow (CBF) in patients with cerebral infarctionand NIDDM. Methods There were four groups: pure cerebral infarction in 41 cases, complicated withhypertension in 44 cases, complicated with NIDDM in 38 cases, complicated with NIDDM and hypertension in 42 cases. All patients were determined by ~133 Xe inhalation method in acute and recovery stage.Results CBF were apparently lower in patients with cerebral infarction complicated with hypertensionor NIDDM (p<0. 05-0. 01),especially in patients complicated with hypertension and NIDDM (p<0.01 ). In recovery stage, except pure cerebral infarction,in other kinds cerebral infarction, CBF was low-er than that in normal control group (P<0. 05-0. 01); in patients complicated with hypertension andNIDDM, CBF was the lowest. Conclusion The CBF was much decreased in the patients with cerebralinfarction complicated with NIDDM and hypertension.
Keywords:Cerebral infarction Hypertension NIDDM Cerebral blood flow
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