老年糖尿病合并脑卒中的临床分析

目的：探讨老年糖尿病合并脑卒中的临床特点。方法：回顾性对老年2型糖尿病合并脑卒中组、非糖尿病脑卒中组及糖尿病无卒中组的临床病历资料进行分析比较。结果：老年2型糖尿病并脑卒中患者中高血压的发生率（58．0％）高于非糖尿病脑卒中组及糖尿病无卒中组（P〈0．05）。老年糖尿病合并脑卒中组以腔隙性脑梗死及多发脑梗死多见（94．0％），更容易出现肢体偏瘫（50．0％）、构音障碍（10．0％）和失语（24．0％）。血脂、血糖、尿酸、纤维蛋白原的水平高于糖尿病无卒中组和非糖尿病脑卒中组（P〈0．05）。结论：老年糖尿病合并脑卒中时有特征性临床表现模式，血糖控制不佳，高血压、高血脂、高尿酸、高纤维蛋白原是老年2型糖尿病并发脑卒中主要危险因素．影响预后。

Clinical Analysis of Senile Diabetes Complicated With Cerebral Stroke

Objective： To investigate the clinical characteristics of senile patients with type 2 diabetes mellitus complicated with cerebral stroke. Methods： Clinical data of senile patients with type 2 diabetes mellitus （T2DM） complicated with cerebral stroke, senile patients with cerebral stroke, T2DM without cerebral stroke were analyzed and compared. Results： The incidence of hypertension （58. 0%） was higher in senile patients with T2DM complicated with cerebral stroke than that in cerebral stroke and T2DM without cerebral stroke （P〈0. 05）. Lacunar infarction and multi infraction were more common （94. 0%） in senile patients with T2DM complicated with cerebral stroke, and were prone to develope hemiplegia （50. 0%）, dysarthria （10. 0%） and aphasia （24. 0%）. The levels of lipids, blood glucose, uric acid and fibrinogen were higher than those of T2DM without stroke group and cerebral stroke group （P〈0. 05）. Conclusions： T2DM with cerebral stroke in elderly had a characteristic clinical model. Poor blood glucose control, hypertension, hyperlipidemia, high serum uric acid and high fibrinogen were the major risk factors that causing cerebral stroke in senile patients with T2DM.