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目的探讨颈动脉内中膜厚度(IMT)与2型糖尿病性脑梗死之间的关系。方法测定糖尿病性及非糖尿病性脑梗死患者的颈动脉IMT,并分析颈动脉IMT与脑血管病危险因素间的关系。结果糖尿病性脑梗死组的总胆固醇(TC)和低密度脂蛋白(LDL)水平、纤维蛋白原(FIB)显著高于对照组(P<0.05)。而高密度脂蛋白(HDL)明显低于其他两组(P<0.05)。糖尿病性脑梗死患者的颈动脉IMT与对照组和非糖尿病性脑梗死组相比差异有统计学意义(P<0.05)。结论糖尿病性脑梗死患者颈动脉IMT增厚明显,糖尿病患者易伴发脑血管病。
Objective To investigate the relationship between carotid intima-media thickness (IMT) and type 2 diabetic cerebral infarction. Methods The carotid IMT was measured in diabetic and non-diabetic cerebral infarction patients and the relationship between carotid IMT and cerebrovascular disease risk factors was analyzed. Results The levels of total cholesterol (TC) and low density lipoprotein (LDL) and fibrinogen (FIB) in diabetic cerebral infarction group were significantly higher than those in control group (P <0.05). High density lipoprotein (HDL) was significantly lower than the other two groups (P <0.05). Compared with control group and non-diabetic cerebral infarction group, IMT of carotid artery in patients with diabetic cerebral infarction had significant difference (P <0.05). Conclusion The IMT of carotid artery in patients with diabetes mellitus is obviously thickened. Patients with diabetes mellitus tend to have cerebrovascular disease.