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目的 探讨老年糖尿病患者合并急性脑梗死时血糖水平与病情严重程度及预后关系。方法 对住院老年糖尿病患者６００例进行分析，其中１２８例合并急性脑梗死（２１．３％）。按脑梗死严重程度分轻、中、重３组，并按入院时血糖水平分成高血糖Ａ组、高血糖Ｂ组和高血糖Ｃ组，并对３组进行分析。结果 老年糖尿病合并急性脑梗死者以多发脑梗死及椎基底动脉梗死为主（８１．３％）；入院时血糖水平愈高，病情愈重，死亡率愈高（Ｐ＜０．０１）。结论 高血糖是老年糖尿病患者合并急性脑梗死预后不良的危险因素之一。
Objective To investigate the relationship between the blood glucose level and the severity and prognosis of senile diabetic patients with acute cerebral infarction. Methods 600 hospitalized elderly diabetic patients were analyzed, of which 128 cases were complicated with acute cerebral infarction (21.3%). According to the severity of cerebral infarction, the patients were divided into three groups according to the severity of cerebral infarction, divided into hyperglycemia group A, hyperglycemia group B and hyperglycemia group C according to the blood glucose level at admission. Results Elderly patients with diabetes mellitus complicated with acute cerebral infarction had multiple cerebral infarction and vertebrobasilar artery infarction (81.3%). The higher blood glucose level, the heavier the disease, the higher the mortality rate (P <0.01). Conclusion Hyperglycemia is one of the risk factors of poor prognosis in elderly diabetic patients with acute cerebral infarction.