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目的探讨老年糖尿病合并脑梗死的临床特点、影像学检查及预后。方法对观察组33例老年糖尿病合并脑梗死患者进行回顾性分析,并与同期对照组60例非糖尿病脑梗死作对比分析。结果老年糖尿病合并脑梗死与非糖尿病脑梗死在临床表现、影像学检查及预后方面比较差异均有统计学意义。结论老年糖尿病合并脑梗死多为腔隙性脑梗死,且呈多病灶特点。位于基底节区、侧脑室、脑叶及脑干等部位。多伴有高血压、血脂代谢紊乱、冠心病、高尿酸等危险因素。疗效及预后较非糖尿病组差,应以预防为主,积极控制血糖、血压、血脂、尿酸,适当抗凝、抗血小板及改善微循环治疗。
Objective To investigate the clinical features, imaging and prognosis of senile diabetes complicated with cerebral infarction. Methods A retrospective analysis was performed on 33 elderly diabetic patients with cerebral infarction in the observation group and compared with 60 non-diabetic cerebral infarction patients in the control group. Results There were significant differences in clinical manifestations, imaging findings and prognosis between elderly diabetic cerebral infarction and non-diabetic cerebral infarction. Conclusion Elderly diabetic patients with cerebral infarction mostly lacunar infarction, and was characterized by multiple lesions. Located in basal ganglia, lateral ventricle, brain lobe and brain stem and other parts. More accompanied by hypertension, dyslipidemia, coronary heart disease, high uric acid and other risk factors. Efficacy and prognosis worse than non-diabetic group, prevention should be based, and actively control blood glucose, blood pressure, blood lipids, uric acid, appropriate anticoagulation, anti-platelet and improve microcirculation.