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选取99例急性脑梗死,未确诊为糖尿病的对象OGTT。结果22例(22.2%)过去确诊糖尿病。进行OGTT试验发现DM 46例(46.5%),19例(19.2%)IGR,总的糖代谢异常65例(65.7%)。若不进行OGTT试验,仅依据FPG,将有54.2%DM患者和72.7%IGR患者被漏诊。结论急性脑梗死患者中绝大多数合并糖代谢异常,需要通过OGTT试验及时准确地发现这些患者。
Ninety-nine patients with acute cerebral infarction and undiagnosed diabetes mellitus were selected as OGTT. Results 22 cases (22.2%) were diagnosed with diabetes in the past. OGTT test found 46 cases (46.5%) and 19 cases (19.2%) of IGR, 65 cases (65.7%) of total abnormal glucose metabolism. Without the OGTT test, only 54.2% of DM patients and 72.7% of IGR patients were missed on FPG alone. Conclusion The vast majority of patients with acute cerebral infarction complicated by abnormal glucose metabolism, need to be timely and accurate OGTT test found these patients.