【摘要】 目的 探討老年糖尿病患者合并腦梗死的臨床特點及相關危險因素。 方法 回顧分析2008年7月-2009年7月收治的96例老年糖尿病合并腦梗死患者（A組）及116例老年非糖尿病腦梗死（B組）的臨床資料，比較兩組患者臨床癥狀、體重指數（BMI）、總膽固醇（TC）、甘油三酯（TG）、低密度脂蛋白（LDL）、高密度脂蛋白（HDL）、纖維蛋白原（FIB）水平及頭顱CT結果等。 結果 A組與B組相比，BMI，TC、TG、LDL及FIB水平明顯增高，而HDL降低，顱內病灶直徑多較小，數目較多。 結論 老年糖尿病患者合并高BMI、TC、TG、LDL及低HDL腦梗死的危險性較高，且以多發腔隙性腦梗死多見。
【Abstract】 Objective To investigate the clinical features and risk factors of the cerebral infarction in elder diabetic patients. Methods The clinical data of 96 (group A) and 116 (group B) elder patients with and without diabetes mellitus treated in our hospital due to cerebral infarction from July 2008 to July 2009 were retrospectively anlalyzed. The differences in clinical symptoms, body mass index (BMI), total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL), high-density lipoprotein (HDL), fibrinogen (FIB) and the results of head CT between the two groups were compared. Results The levels of BMI, TC, TG, LDL, and FIB were obviously higher in group A than those in group B; HDL decreased, and the size and number of cerebral infarction was smaller and more in group A. Conclusion The elder diabetic patients with high BMI, TC, TG, and LDL and low HDL have a high risk of cerebral infarction, most commonly lacunar infarction.
引用本文： 陳潔,王小祥,羅孝全. 老年糖尿病患者合并腦梗死的臨床分析. 華西醫學, 2010, 25(10): 1798-1800. doi: 復制