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实验室研究资料表明,大小血管内皮对胰岛素的生物反应存在着明显的差异。现对人体高胰岛素水平与症状性脑微血管病之间的关系进行探讨,并与脑供血动脉引起的大血管卒中加以对照。 作者对194例(男125例,女69例,年龄66±6岁)急性缺血性卒中进行调查。全部患者均行脑影像学、心脏和颅内外动脉超声、心电图及空腹胰岛素、血糖和C肽等方面的检查。排除了潜在的心源性卒中(16例),不明原因性卒中(9例)和大小血管联合卒中(15
Laboratory data show that the size of vascular endothelial reaction to insulin there is a clear difference. Now the relationship between human high insulin levels and symptomatic cerebral microvascular disease is explored and compared with the large blood vessel stroke caused by cerebral feeding artery. The authors investigated 194 patients (125 males, 69 females, aged 66 ± 6 years) of acute ischemic stroke. All patients underwent brain imaging, heart and intracranial arterial ultrasound, ECG and fasting insulin, blood glucose and C-peptide and other aspects of the inspection. Exclusion of potential cardioembolic stroke (n = 16), unexplained stroke (n = 9) and stenosis plus stroke