%0 Journal Article %T 老年糖尿病患者合并脑梗死的临床分析 %A 陈洁 %A 王小祥 %A 罗孝全 %J 华西医学 %P 1798-1800 %D 2010 %X 【】目的探讨老年糖尿病患者合并脑梗死的临床特点及相关危险因素。方法回顾分析2008年7月-2009年7月收治的96例老年糖尿病合并脑梗死患者(A组)及116例老年非糖尿病脑梗死(B组)的临床资料,比较两组患者临床症状、体重指数(BMI)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)、纤维蛋白原(FIB)水平及头颅CT结果等。结果A组与B组相比,BMI,TC、TG、LDL及FIB水平明显增高,而HDL降低,颅内病灶直径多较小,数目较多。结论老年糖尿病患者合并高BMI、TC、TG、LDL及低HDL脑梗死的危险性较高,且以多发腔隙性脑梗死多见。?【Abstract】ObjectiveToinvestigatetheclinicalfeaturesandriskfactorsofthecerebralinfarctioninelderdiabeticpatients.MethodsTheclinicaldataof96(groupA)and116(groupB)elderpatientswithandwithoutdiabetesmellitustreatedinourhospitalduetocerebralinfarctionfromJuly2008toJuly2009wereretrospectivelyanlalyzed.Thedifferencesinclinicalsymptoms,bodymassindex(BMI),totalcholesterol(TC),triglyceride(TG),low-densitylipoprotein(LDL),high-densitylipoprotein(HDL),fibrinogen(FIB)andtheresultsofheadCTbetweenthetwogroupswerecompared.ResultsThelevelsofBMI,TC,TG,LDL,andFIBwereobviouslyhigheringroupAthanthoseingroupB;HDLdecreased,andthesizeandnumberofcerebralinfarctionwassmallerandmoreingroupA.ConclusionTheelderdiabeticpatientswithhighBMI,TC,TG,andLDLandlowHDLhaveahighriskofcerebralinfarction,mostcommonlylacunarinfarction. %K 老年糖尿病 %K 脑梗死 %K CT %K 临床分析 %U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201010008