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目的观察糖尿病及高血压脑梗塞患者脑血流量的变化。方法９５例糖尿病合并高血压脑梗塞患者，６５例糖尿病脑梗塞和１００例单纯脑梗塞患者全部作１３３Ｘｅ吸入法测定脑血流量。结果高血压脑梗塞及糖尿病脑梗塞患者脑血流量较脑梗塞组明显下降（Ｐ＜０．０５），糖尿病合并高血压脑梗塞又较单纯糖尿病脑梗塞明显降低（Ｐ＜０．０５），血糖控制不良比血糖控制良好的脑梗塞患者下降更为明显，且预后差。结论糖尿病合并高血压进一步影响脑梗塞患者的脑血流量。
Objective To observe the changes of cerebral blood flow in patients with diabetes mellitus and hypertensive cerebral infarction. Methods 95 cases of diabetic patients with hypertensive cerebral infarction, 65 cases of diabetic cerebral infarction and 100 cases of simple cerebral infarction patients were all 133Xe inhalation method for the determination of cerebral blood flow. Results Cerebral blood flow in patients with hypertensive cerebral infarction and diabetic cerebral infarction was significantly lower than that in cerebral infarction group (P <0.05), diabetic cerebral infarction with hypertension was significantly lower than simple diabetic cerebral infarction (P <0.05), blood glucose Patients with poor control and cerebral infarction with well-controlled glycemic control were more likely to have a worse prognosis. Conclusions Diabetes with hypertension further affects cerebral blood flow in patients with cerebral infarction.