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目的应用彩色多普勒超声探讨2型糖尿病(T2DM)并发脑梗死患者血糖与颈动脉内中膜(IMT)的相关性。方法对我院2007年1月至2008年12月间131例脑梗死行数字减影脑血管造影检查(脑DSA)的患者进行血糖分析,同时进行颈动脉超声检查。结果脑梗死糖尿病组颈总动脉IMT明显增厚,61例脑梗死糖尿病组查出颈动脉硬化粥样硬化斑块数135块,70例脑梗死非糖尿病组查出斑块数46块,2组有显著差异(P<0.01)。结论T2DM并脑梗死患者血糖与颈动脉硬化呈正相关,对糖尿病患者进行脑血管病一级及二级预防具有重要的意义。
Objective To investigate the relationship between blood glucose and carotid intima-media thickness (IMT) in patients with type 2 diabetes mellitus (T2DM) complicated with cerebral infarction by color Doppler ultrasonography. Methods Blood glucose was measured in 131 patients with cerebral infarction undergoing digital subtraction angiography (DSA) from January 2007 to December 2008 in our hospital. Carotid ultrasonography was performed at the same time. Results The IMT of common carotid artery was significantly increased in diabetes mellitus patients with cerebral infarction. The number of carotid atherosclerotic plaque in 61 cases of cerebral infarction was 135, and in 70 cases of non-diabetic cerebral infarction, the number of plaque was 46, There was a significant difference (P <0.01). Conclusions There is a positive correlation between blood glucose and carotid atherosclerosis in patients with T2DM and cerebral infarction. It is of great significance for the prevention of primary and secondary cerebrovascular diseases in patients with diabetes mellitus.