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目的分析老年2型糖尿病并发脑梗死的临床特点,探讨其易患因素。方法回顾分析72例老年2型糖尿病并脑梗死的临床资料,包括血糖、血脂、血压和头颅CT。结果血糖控制不良>11.1mmol/L50例(69.4%);高血压52例(72.2%);冠心病42例(58.3%);高血脂47例(65.2%);脑梗死后并发脑出血4例(5.5%);脑梗死68例(94.4%),其中多发性腔隙性脑梗死28例(38.8%);多发性脑梗死20例(27.7%);大面积脑梗死20例(27.7%)。结论老年2型糖尿病并发脑梗死以多发性腔隙性脑梗死发病率高。高血糖、高血压、高血脂是老年2型糖尿病并发脑梗死的危险因素。
Objective To analyze the clinical features of elderly type 2 diabetes mellitus complicated with cerebral infarction and to explore its predisposing factors. Methods Retrospective analysis of 72 elderly patients with type 2 diabetes and cerebral infarction clinical data, including blood glucose, blood lipids, blood pressure and cranial CT. Results Blood glucose control was poor> 11.1mmol / L in 50 cases (69.4%); hypertension in 52 cases (72.2%); coronary heart disease in 42 cases (58.3%); hyperlipidemia in 47 cases (65.2%); cerebral infarction complicated by cerebral hemorrhage in 4 (5.5%); cerebral infarction in 68 cases (94.4%), including multiple lacunar infarction in 28 cases (38.8%); multiple cerebral infarction in 20 cases (27.7%); large area cerebral infarction in 20 cases (27.7% . Conclusion The incidence of multiple cerebral lacunar infarction in elderly type 2 diabetic patients with cerebral infarction is high. Hyperglycemia, hypertension and hyperlipidemia are the risk factors of type 2 diabetes mellitus complicated with cerebral infarction in the elderly.