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目的探讨2型糖尿病合并脑梗死的相关危险因素,为疾病的预防提供参考。方法 30例2型糖尿病合并脑梗死患者为观察组,30例单纯糖尿病患者为对照组。比较两组的基线资料及血糖、血脂、胰岛素等情况。结果两组年龄、性别、吸烟、体质量指数(BMI)、饮酒等基线资料比较差异无统计学意义(P>0.05);而观察组高血压25例明显多于对照组18例,差异具有统计学意义(P<0.05)。观察组的空腹血糖(FBG)、糖化血红蛋白(Hb A1c)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)水平高于对照组,高密度脂蛋白胆固醇(HDL-C)、空腹胰岛素、餐后2 h胰岛素水平低于对照组,差异具有统计学意义(P<0.05)。结论 2型糖尿病合并脑梗死的危险因素与血糖、血脂、胰岛功能等有关,对于2型糖尿病患者应该严格控制以上指标,以减少脑梗死的风险。
Objective To explore the related risk factors of type 2 diabetes mellitus complicated with cerebral infarction and provide references for disease prevention. Methods Thirty patients with type 2 diabetes mellitus complicated with cerebral infarction were selected as the observation group and 30 patients with simple diabetes mellitus as the control group. Baseline data and blood glucose, blood lipids, insulin, etc. were compared between the two groups. Results The baseline data of age, gender, smoking, body mass index (BMI) and alcohol consumption had no significant difference between the two groups (P> 0.05). The observation group had 25 cases of hypertension more than the control group, with statistical difference Significance (P <0.05). The levels of fasting blood glucose (FBG), Hb A1c, total cholesterol (TC), triglyceride (TG) and low density lipoprotein cholesterol (LDL-C) in the observation group were significantly higher than those in the control group, high-density lipoprotein cholesterol (HDL-C), fasting insulin and 2 h postprandial insulin were lower than those of the control group (P <0.05). Conclusions The risk factors of type 2 diabetes mellitus complicated with cerebral infarction are related to blood glucose, blood lipid and islet function. For type 2 diabetic patients, the above indexes should be strictly controlled to reduce the risk of cerebral infarction.