Ⅱ型糖尿病合并脑梗死患者的病变特点及危险因素分析

摘要

Objective:To explore the pathological characteristics and the risk factors of the patient with type Ⅱ diabetes complicated with cerebral infarction.Method:80 patients treated in our hospital from November 2010 to April 2012 were chosen,In Group A 42 cases combined with type Ⅱ diabetes,and 38 not associated with type Ⅱ diabetes patients in Group B,their cerebral lesion characteristics was compared,at the same time 40 cases type Ⅱ diabetes without cerebral infarction patients treated in our hospital in the corresponding period.Type Ⅱ diabetes complicated with cerebral infarction in patients with risk factors were respectively analysed with Logistic.Result:Type 11 diabetes complicated with cerebral infarction in patients with multifocal infarction and recurrent infarction are more common.All the factors affecting only triglyceride.and lipoprotein B100 are in regression equation by respective analysis with Logistic.Conclusion:Type Ⅱ diabetes complicated with cerebral infarction in patients with multifocal infarction and recurrent infarction are more common,and triglycerides and apolipoprotein B100 are the main risk factor.%目的:探讨Ⅱ型糖尿病合并脑梗死患者的病变特点及危险因素.方法:选取我院于2010年11月至2012年4月收治的脑梗死患者80例,其中合并Ⅱ型糖尿病的患者为A组42例,不合并糖尿病的患者为B组38例,比较其脑梗死的病变特点,同时选取同期在院治疗的Ⅱ型糖尿病无脑梗死的患者40例,对比分析Ⅱ型糖尿病合并脑梗死发生的危险因素.结果:Ⅱ型糖尿病合并脑梗死患者多灶性梗死和再发性梗死较为常见.用Logistic回归分析所有影响因素仅甘油三酯以及载脂蛋白B100入选回归方程.结论:Ⅱ型糖尿病合并脑梗死患者多灶性梗死和再发性梗死较为常见,甘油三酯以及载脂蛋白B100为主要的危险因素.