CAJ | 학술논문

目的：探讨糖尿病、脑梗死与颈动脉斑块三者的相关性。方法选取苏州大学附属第二医院神经内科收治的缺血性脑血管患者139例，分别按照是否脑梗死分为脑梗死组和非脑梗死组，按照是否患糖尿病分为糖尿病组和无糖尿病组，按照颈动脉斑块的厚度分为斑块组和无斑块组，分析糖尿病、脑梗死、颈动脉斑块三者间的关系。结果脑梗死组颈动脉斑块和糖尿病阳性率均高于非脑梗死组，且斑块组的脑梗死和糖尿病阳性率也高于无斑块组，糖尿病组的脑梗死和颈动脉斑块阳性率也均高于无糖尿病组。三者相关性密切，差异有统计学意义(P<0.05)。结论颈动脉斑块易导致血栓的形成，是造成脑梗死的重要原因；而糖尿病可导致颈动脉斑块的形成，增加脑梗死的风险，在脑梗死的临床诊治中应加强合理的血糖管理。
목적：탐토당뇨병、뇌경사여경동맥반괴삼자적상관성。방법선취소주대학부속제이의원신경내과수치적결혈성뇌혈관환자139례，분별안조시부뇌경사분위뇌경사조화비뇌경사조，안조시부환당뇨병분위당뇨병조화무당뇨병조，안조경동맥반괴적후도분위반괴조화무반괴조，분석당뇨병、뇌경사、경동맥반괴삼자간적관계。결과뇌경사조경동맥반괴화당뇨병양성솔균고우비뇌경사조，차반괴조적뇌경사화당뇨병양성솔야고우무반괴조，당뇨병조적뇌경사화경동맥반괴양성솔야균고우무당뇨병조。삼자상관성밀절，차이유통계학의의(P<0.05)。결론경동맥반괴역도치혈전적형성，시조성뇌경사적중요원인；이당뇨병가도치경동맥반괴적형성，증가뇌경사적풍험，재뇌경사적림상진치중응가강합리적혈당관리。
Objective To investigate the relationship between the three patients with diabetes, cerebral infarction and carotid artery plaque. Methods Suzhou University Affiliated Second Hospital Department of Neurology, the patients with is-chemic cerebral vascular 139 cases, respectively, according to whether cerebral infarction were divided into cerebral infarc-tion group and non cerebral infarction group, according to whether diabetes were divided into diabetes group and non dia-betes groups, according to the thickness of carotid artery plaque is divided into plaque group and non plaque group. Analy-sis of relationship between diabetes, cerebral infarction, carotid artery plaque. Results The positive rate of cerebral infarc-tion patients with carotid artery plaque and diabetes mellitus were higher than those of the non cerebral infarction group, and the plaque group, the positive rate of cerebral infarction and diabetes is also higher than in the non plaque group, posi-tive rate of cerebral infarction and carotid plaques of diabetic group were also higher than that of the group without dia-betes. Three were closely related, the difference was significant (P<0.05), with statistical significance. Conclusion Carotid artery plaque easily lead to thrombus formation is the important reason of resulting in cerebral infarction, and diabetes can be lead to the formation of carotid plaque, cerebral infarction increased risk, in the diagnosis and treatment of cerebral in-farction should strengthen the reasonable management of blood glucose.