中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
22期
145-146,147
,共3页
老年糖尿病%无症状性脑梗死%临床治疗特点%疗效分析
老年糖尿病%無癥狀性腦梗死%臨床治療特點%療效分析
노년당뇨병%무증상성뇌경사%림상치료특점%료효분석
Elderly diabetes%Asymptomatic cerebral infarction%Clinical characteristics%Curative effect analysis
目的：探讨老年糖尿病合并无症状性脑梗死的患者的临床特点及效果。方法：通过对2004年1月-2014年12月在本院就诊的50例单纯SCI患者及43例合并2型糖尿病患者进行回顾性分析，将其分为SCI组和糖尿病组，比较两组患者的临床表现、头部CT检查结果及血流变学检查结果的差异。结果：两组在头晕、睡眠质量差、头痛、肢体麻木、耳鸣、视物眩晕、记忆力下降、行走缓慢、饮水呛咳等临床症状比较差异无统计学意义。糖尿病组患者脑部CT结果显示梗死病灶为2个的居多，其次为≥3个病灶；而SCI组患者中，多为1个病灶，两组比较差异具有统计学意义（P<0.05）。糖尿病组患者血液中胆固醇、TG和纤维蛋白原水平显著高于SCI组患者，高密度脂蛋白的含量则显著低于SCI组患者，两组比较差异具有统计学意义（P<0.05）。结论：老年糖尿病患者合并SCI临床上没有明显的临床表现，常以多病灶梗死的情况发病，临床的对于此类疾病应以预防为主，防治结合，临床上应多注意患者血流变学相关指标的变化，预防脑卒中的发生。
目的：探討老年糖尿病閤併無癥狀性腦梗死的患者的臨床特點及效果。方法：通過對2004年1月-2014年12月在本院就診的50例單純SCI患者及43例閤併2型糖尿病患者進行迴顧性分析，將其分為SCI組和糖尿病組，比較兩組患者的臨床錶現、頭部CT檢查結果及血流變學檢查結果的差異。結果：兩組在頭暈、睡眠質量差、頭痛、肢體痳木、耳鳴、視物眩暈、記憶力下降、行走緩慢、飲水嗆咳等臨床癥狀比較差異無統計學意義。糖尿病組患者腦部CT結果顯示梗死病竈為2箇的居多，其次為≥3箇病竈；而SCI組患者中，多為1箇病竈，兩組比較差異具有統計學意義（P<0.05）。糖尿病組患者血液中膽固醇、TG和纖維蛋白原水平顯著高于SCI組患者，高密度脂蛋白的含量則顯著低于SCI組患者，兩組比較差異具有統計學意義（P<0.05）。結論：老年糖尿病患者閤併SCI臨床上沒有明顯的臨床錶現，常以多病竈梗死的情況髮病，臨床的對于此類疾病應以預防為主，防治結閤，臨床上應多註意患者血流變學相關指標的變化，預防腦卒中的髮生。
목적：탐토노년당뇨병합병무증상성뇌경사적환자적림상특점급효과。방법：통과대2004년1월-2014년12월재본원취진적50례단순SCI환자급43례합병2형당뇨병환자진행회고성분석，장기분위SCI조화당뇨병조，비교량조환자적림상표현、두부CT검사결과급혈류변학검사결과적차이。결과：량조재두훈、수면질량차、두통、지체마목、이명、시물현훈、기억력하강、행주완만、음수창해등림상증상비교차이무통계학의의。당뇨병조환자뇌부CT결과현시경사병조위2개적거다，기차위≥3개병조；이SCI조환자중，다위1개병조，량조비교차이구유통계학의의（P<0.05）。당뇨병조환자혈액중담고순、TG화섬유단백원수평현저고우SCI조환자，고밀도지단백적함량칙현저저우SCI조환자，량조비교차이구유통계학의의（P<0.05）。결론：노년당뇨병환자합병SCI림상상몰유명현적림상표현，상이다병조경사적정황발병，림상적대우차류질병응이예방위주，방치결합，림상상응다주의환자혈류변학상관지표적변화，예방뇌졸중적발생。
Objective:To study the elderly diabetic asymptomatic cerebral infarction patients with the clinical characteristics and treatment effect. Method:From January 2004 to December 2004 in our hospital,50 SCI patients and 43 type 2 diabetes mellitus and SCI patients were retrospectively analyzed,they were divided into SCI group and diabetes group. To compare clinical manifestations,head CT examination results and hemorrheology learn differences between the test results of the two groups. Result:There was no significant statistical difference in dizziness,poor quality of sleep,headache,numbness,tinnitus, dizziness,memory decline in vision,walking slowly,water choking cough clinical symptoms such between the two groups. For patients in the diabetes group,brain CT showed infarction lesions in the majority for 2,followed by three or more lesions,and in patients with SCI group,there was one more lesions. The result showed statistically difference comparison of the two groups (P<0.05). Blood cholesterol,TG and fibrin value of the diabetes group was significantly higher than that of SCI group,and high-density lipoprotein cholesterol(hdl-c)levels was significantly lower,which showed statistically difference(P<0.05). Conclusion:Elderly patients with diabetes merged SCI clinically have no obvious clinical manifestations,often in multiple focal infarction onset,clinical for these diseases should give priority to in order to prevent and control combined with clinical patients show to learn relevant indicators should pay more attention to the change,prevent the happening of the stroke.
