152例脑梗死合并糖尿病临床分析

目的：探讨脑梗死合并糖尿病与单纯脑梗死患者的血脂、血糖及预后的差异。方法：152例急性脑梗死患者分为脑梗死并发糖尿病组（A组）、非糖尿病脑梗死组（B组）及一过性血糖升高脑梗死组（C组），对3组患者的头颅CT检查结果、总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）、极低密度脂蛋白胆固醇（VLDL-C）血糖（FBG）水平以及神经功能缺损情况进行比较。结果：与非糖尿病脑梗死组相比，脑梗死合并糖尿病组和一过性血糖升高组患者病情重，脑梗死面积大，TC、TG、LDL-C、VLAL-C、FBG水平明显升高，神经功能缺项程度严重。结论：脑梗死合并糖尿病组的疗效及预后较非糖尿病组差，其不良预后与高血糖有关。

Clinical analysis of cerebral infarction with diabetes:152 cases observation

Objective: To compare the blood lipid,blood glucose and prognosis situation between patients with cerebral infarction combining diabetes and patients without diabetes.Methods: Separated 152 patients with acute cerebral infarction into cerebral infarction with diabetes group(A group),cerebral infarction without diabetes group(B group) and cerebral infarction with temporary high blood glucose(C group).Compared the imaging of cerebral CT scanner,the levels of total cholesterol(TC),triglyeride(TC),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),fasting blood glucose(FBG),and the status of neurological impairment in three groups.Results: Compared with cerebral infarction patients without diabetes,the situations of patients with cerebral infarction combining diabetes and combing temporary high blood glucose were more server,with larger infarct size,higher levels of TC,TG,LDL-C,VLAL-C and FBG,and more sever neurological impairment.Conclusion: Cerebral infarction patients with diabetes had worse therapeutic effect and prognosis.It is associated with high level of blood glucose.