CAJ | 학술논문

目的：分析老年2型糖尿病合并脑梗死的病变特点和危险因素。方法回顾性分析219例患者的临床资料，分为合并组、单纯脑梗死组及单纯糖尿病组，采用Logistic回归分析法对9项可能的危险因素进行分析。结果老年2型糖尿病合并脑梗死患者大面积脑梗死、多灶性梗死、再发性梗死人数均高于单纯脑梗组(P<0.05)。 Lo-gistic逐步回归分析显示，吸烟、高血压、胆固醇、甘油三酯、低密度脂蛋白、纤维蛋白原、糖化血红蛋白与脑梗死显著相关(OR值分别为18.367、18.014、4.216、22.341、24.871、6.157、8.149)。结论老年2型糖尿病患者合并脑梗死具有大面积性、多灶性和易复发的特点。吸烟、高血压、胆固醇、甘油三酯、低密度脂蛋白、纤维蛋白原、糖化血红蛋白是老年2型糖尿病合并脑梗死的危险因素。
목적：분석노년2형당뇨병합병뇌경사적병변특점화위험인소。방법회고성분석219례환자적림상자료，분위합병조、단순뇌경사조급단순당뇨병조，채용Logistic회귀분석법대9항가능적위험인소진행분석。결과노년2형당뇨병합병뇌경사환자대면적뇌경사、다조성경사、재발성경사인수균고우단순뇌경조(P<0.05)。 Lo-gistic축보회귀분석현시，흡연、고혈압、담고순、감유삼지、저밀도지단백、섬유단백원、당화혈홍단백여뇌경사현저상관(OR치분별위18.367、18.014、4.216、22.341、24.871、6.157、8.149)。결론노년2형당뇨병환자합병뇌경사구유대면적성、다조성화역복발적특점。흡연、고혈압、담고순、감유삼지、저밀도지단백、섬유단백원、당화혈홍단백시노년2형당뇨병합병뇌경사적위험인소。
Objective To analyze pathological characteristics and risk factors of type 2 diabetic patients with cerebral infarction in senile patients. Methods A total of 219 patients of type 2 diabetes with cerebral infarction data were retro-spective analyze. These patients were divided into three groups. Nine possible risk factors of two groups were compared. Results Comparison of large area,multifocal,and recurrence were statistically significant between the combined group and pure cerebral infarction group(P<0.05). Smoking,hypertension,cholesterol,triglyceride,low density lipoprotein,fibrinogen,hemoglobin were significantly correlated with cerebral infarction(OR=18.367,18.014,4.216,22.341,24.871,6.157,8.149). Conclusion Large area, multifocal, and recurrence infarcts are more common in type 2 diabetes of se-nile patients. Smoking, hypertension, cholesterol, triglyceride, low density lipoprotein, fibrinogen, hemoglobin are risk factors for type 2 diabetes with cerebral infarction in senile patients.