老年糖尿病患者合并脑梗死的临床分析

【】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.