实用医技杂志
實用醫技雜誌
실용의기잡지
JOURNAL OF PRACTICAL MEDICAL TECHNIQUES
2014年
9期
947-949
,共3页
脑底异常血管网病%脑缺血%血糖%头颈部肿瘤
腦底異常血管網病%腦缺血%血糖%頭頸部腫瘤
뇌저이상혈관망병%뇌결혈%혈당%두경부종류
Moyamoya disease%Brain ischemic%Blood glucose%Head and neck neoplasins
目的：探讨烟雾病患者脑缺血面积与空腹血糖的关系。方法选取经颅脑CT平扫及头颈部CT血管造影（CTA）扫描确诊，并经数字减影血管造影（DSA）证实的烟雾病的患者40例，同时测量其空腹血糖，回顾性分析烟雾病患者脑缺血面积与空腹血糖的相关关系。结果烟雾病患者40例根据空腹血糖水平分组：正常空腹血糖（FPG）组18例；空腹血糖受损（IFG）组6例，糖尿病组16例；其中FPG正常组存在脑梗死患者15例，占83%（15/18）；IFG组存在脑梗死患者5例，占83%（5/6）；糖尿病组存在脑梗死患者15例，占94%（15/16）；本组烟雾病脑梗死面积大小与空腹血糖值的高低具有统计学意义（χ2=53.8，P<0.01）。即烟雾病患者脑梗死的发病程度与血糖增高的程度呈正相关关系（rs=0.649，P<0.01）。结论烟雾病患者脑缺血面积与血糖高低具有相关关系，烟雾病并发血糖值越高患者脑缺血发病程度越严重。
目的：探討煙霧病患者腦缺血麵積與空腹血糖的關繫。方法選取經顱腦CT平掃及頭頸部CT血管造影（CTA）掃描確診，併經數字減影血管造影（DSA）證實的煙霧病的患者40例，同時測量其空腹血糖，迴顧性分析煙霧病患者腦缺血麵積與空腹血糖的相關關繫。結果煙霧病患者40例根據空腹血糖水平分組：正常空腹血糖（FPG）組18例；空腹血糖受損（IFG）組6例，糖尿病組16例；其中FPG正常組存在腦梗死患者15例，佔83%（15/18）；IFG組存在腦梗死患者5例，佔83%（5/6）；糖尿病組存在腦梗死患者15例，佔94%（15/16）；本組煙霧病腦梗死麵積大小與空腹血糖值的高低具有統計學意義（χ2=53.8，P<0.01）。即煙霧病患者腦梗死的髮病程度與血糖增高的程度呈正相關關繫（rs=0.649，P<0.01）。結論煙霧病患者腦缺血麵積與血糖高低具有相關關繫，煙霧病併髮血糖值越高患者腦缺血髮病程度越嚴重。
목적：탐토연무병환자뇌결혈면적여공복혈당적관계。방법선취경로뇌CT평소급두경부CT혈관조영（CTA）소묘학진，병경수자감영혈관조영（DSA）증실적연무병적환자40례，동시측량기공복혈당，회고성분석연무병환자뇌결혈면적여공복혈당적상관관계。결과연무병환자40례근거공복혈당수평분조：정상공복혈당（FPG）조18례；공복혈당수손（IFG）조6례，당뇨병조16례；기중FPG정상조존재뇌경사환자15례，점83%（15/18）；IFG조존재뇌경사환자5례，점83%（5/6）；당뇨병조존재뇌경사환자15례，점94%（15/16）；본조연무병뇌경사면적대소여공복혈당치적고저구유통계학의의（χ2=53.8，P<0.01）。즉연무병환자뇌경사적발병정도여혈당증고적정도정정상관관계（rs=0.649，P<0.01）。결론연무병환자뇌결혈면적여혈당고저구유상관관계，연무병병발혈당치월고환자뇌결혈발병정도월엄중。
Objective To investigate the relationship between cerebral ischemia in patients smoke area and fasting blood sugar. Methods By brain CT scan and diagnosed with head and neck CTA scans, and by patients with moyamoya disease DSA confirmed 40 cases, simultaneous measurement of fasting glucose, retrospective analysis of patients with cerebral ischemic area of the smoke and the correlation between fasting glucose. Results Forty patients with moyamoya disease based on fasting glucose levels were diveded into 3 groups: normal fasting glucose (fasting plasma glucose, FPG)of 18 cases; impaired fasting glucose (impaired fasting glucose, IFG) group of 6 cases , 16 cases of diabetes. Normal fasting glucose group existed 15 cases with cerebral infarction ,accounting for 83%(15/18); existed 5 cases of cerebral infarction in IFG group, accounting for 83%(5/6);presence of 15 cases of cerebral infarction in diabetic group, accounting 94%(15/16). The level of the group the size of moyamoya disease and cerebral infarction fasting glucose values were statistically significant (χ2=53.8, P<0.01). That was the extent of the disease severity and hyper-glycemia in patients with cerebral infarction smoke positively correlated (rs=0.649, P<0.01). Conclusion Smoke area with cerebral ischemia in patients with blood glucose level correlation between higher blood glucose moyamoya disease com-plicated by cerebral ischemia in patients with more severe disease severity.
