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目的探讨老年糖尿病患者合并脑梗死的临床特点及相关危险因素。方法回顾分析2008年7月-2009年7月收治的96例老年糖尿病合并脑梗死患者(A组)及116例老年非糖尿病脑梗死(B组)的临床资料,比较两组患者临床症状、体重指数(BMI)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)、纤维蛋白原(FIB)水平及头颅CT结果等。结果 A组与B组相比,BMI,TC、TG、LDL及FIB水平明显增高,而HDL降低,颅内病灶直径多较小,数目较多。结论老年糖尿病患者合并高BMI、TC、TG、LDL及低HDL脑梗死的危险性较高,且以多发腔隙性脑梗死多见。
Objective To investigate the clinical features and related risk factors of senile diabetic patients complicated with cerebral infarction. Methods The clinical data of 96 elderly patients with diabetes mellitus with cerebral infarction (A group) and 116 elderly non-diabetic cerebral infarction (B group) were retrospectively analyzed from July 2008 to July 2009. The clinical symptoms, body weight (BMI), total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), high density lipoprotein (HDL), fibrinogen (FIB) Results Compared with group B, the levels of BMI, TC, TG, LDL and FIB in group A were significantly increased, while the levels of HDL in group A were lower than those in group B. The diameter of intracranial lesions was smaller and the number was larger. Conclusion Elderly diabetic patients with high BMI, TC, TG, LDL and low HDL cerebral infarction risk higher, and multiple lacunar infarction more common.