脑梗死并2型糖尿病患者脑血管造影的临床特点分析

摘要

目的 分析脑梗死并2型糖尿病患者脑血管造影的临床特点. 方法 回顾性的选择来自2013年5月—2015年5月于该院收治90例脑梗死患者临床资料,患者均予以脑血管造影术检查,按检查时是否伴糖尿病分成两组,对照组40例为未伴糖尿病患者,研究组50例为伴2型糖尿病患者,观察两组不同类型的梗死发生情况及脑血管的狭窄程度.结果 对照组多灶性、大面积及再发性的梗死发生几率低于研究组,且中度及重度狭窄的发生几率低于研究组,均差异有统计学意义(P<0.05). 结论 脑梗死并2型糖尿病患者多以大面积、再发性及多灶性的梗死为主,且存在严重颅内血管性狭窄,其中以中重度狭窄较为多见.%Objective To analyze the clinical characteristics of cerebral angiography in patients with cerebral infarction and type 2 diabetes mellitus. Methods A retrospective analysis was conducted on the clinical data of 90 cases with cerebral in-farction admitted in our hospital from May 2013 to May 2015. Cerebral angiography was performed in all the patients. The patients were divided into two groups, the control group (40 cases without diabetes mellitus) and the study group (50 cases with type 2 diabetes mellitus), in accordance with whether the patients had diabetes mellitus at the time of undergoing cere-bral angiography. And the incidence of cerebral infarction and cerebral vascular stenosis was compared between the two groups. Results Compared with the study group, the control group had much lower incidence of multiple infarction, large area of infarction and recurrent infarction, and obviously lower incidence of moderate and severe stenosis with statistically significant difference (P<0.05). Conclusion Patients with cerebral infarction and type 2 diabetes mellitus mainly have large area of infarction, recurrent infarction and multifocal infarction with severe intracranial vascular stenosis, of which, moderate and severe stenoses are more common.