2型糖尿病患者伴发脑梗死相关因素探究.doc

2型糖尿病患者伴发脑梗死相关因素探究[摘要] 目的 研究2 型糖尿病伴发脑梗死的相关因素。方法 选取2型糖尿病伴发脑梗死40例和单纯2 型糖尿病36例，分别进行询问生活习惯、病史、检测体重、身高、收缩压、血脂、血糖、糖化血红蛋白、纤维蛋白原、血尿酸，并进行相关性分析。结果 两组间患者在年龄、吸烟史、糖尿病病程、收缩压、空腹血糖水平及高密度脂蛋白比较差异有显著性（均P＜0.05）；体重指数、血总胆固醇、纤维蛋白原、血尿酸、糖化血红蛋白比较差异具有极显著性（均P＜0.01）。结论 监测血糖、血脂、糖化血红蛋白、收缩压、体重指数、纤维蛋白原，血尿酸，适时采取生活方式干预及药物控制，对减少2型糖尿病并发脑梗死是有益的。 [关键词] 2型糖尿病；脑梗死；相关因素 [中图分类号] R587.2[文献标识码] A [文章编号] 1673-9701（2009）12-32-02 Study of Risk Factors of Type 2 Diabetes Mellitus Patients Complicated with Cerebral Infarction XU Dongxiang LIN ChunyingPAN Danhong Department of Neurology，Nanhui District Central Hospital，Shanghai 201300 [Abstract] Objective To study the relative factors of type 2 diabetes mellitus patients complicated with cerebralinfarction. Methods The patients were divided into two groups：40 cases of type 2 diabetes complicated with cerebral infarction served as complication group and 36 cases of type 2 diabetes were served as control group，the living habit，disease history，body mass index，height，contractive pressure，blood lipids，bloodglucose，glycosylated hemoglobin，fibrinogen，serum uric acid were investigated，and the relationship between them was evaluated. Results There were significant differences between the two groups in age，duration of smoking，course of diabetes，contractive pressure，fasting blood glucose and high density lipoprotein（all P＜0.05）， also were significant differences in body mass index， total cholesterol， fibrinogen（Fg），serum uric acid and glycosylated hemoglobin（HbA1c）（all P＜0.01）. ConclusionMonitoring bloodglucose， blood lipids， glycosylated hemoglobin， contractive pressure， body mass index， fibrinogen（Fg）， serum uric acid， to intevene their life styls， to take drug control，it is beneficial of reducing cerebral infarction in type 2 diabetesmellitus patients. [Key Words] Type 2 diabetes mellitus；Cerebral infarction；Ralative factors 2型糖尿病的代谢紊乱促进动脉硬化，血液粘稠性增加，因此脑血管病发病率，尤其脑梗死增加2~6倍。据统计，糖尿病病人25%死于脑血管病[1]。本文通过对2型糖尿病患者的体重、身高、收缩压、血糖、血脂、血尿酸、糖化 血红蛋白、纤维蛋白原、生活习惯进行检测