论文部分内容阅读
目的分析缺血性脑卒中合并2型糖尿病患者血栓弹力图(thrombelastogram,TEG)特点。方法选择178例初发缺血性脑卒中患者为研究对象,根据是否合并2型糖尿病分为糖尿病组(n=59)和非糖尿病组(n=119),分析两组的TEG特点。糖尿病患者根据糖化血红蛋白水平,分为糖化血红蛋白正常组(n=22)和糖化血红蛋白升高组(n=37),分析两组的TEG特点。结果糖尿病组与非糖尿病组比较,糖化血红蛋白升高组与糖化血红蛋白正常组相比,R值、K值明显缩短,Angle角、MA值明显增大,差异均有统计学意义(P<0.05)。结论合并糖尿病的缺血性脑卒中患者血液呈明显高凝状态,其中糖化血红蛋白升高的患者更加明显。
Objective To analyze the characteristics of thrombelastogram (TEG) in type 2 diabetic patients with ischemic stroke. Methods A total of 178 patients with ischemic stroke were enrolled in this study. The TEG characteristics of two groups were analyzed according to whether they were type 2 diabetes mellitus (n = 59) and non-diabetic patients (n = 119). Patients with diabetes mellitus were divided into glycated hemoglobin normal group (n = 22) and glycated hemoglobin elevated group (n = 37) according to the level of glycosylated hemoglobin. TEG characteristics of the two groups were analyzed. Results Compared with non-diabetic group, the values of R and K were significantly shortened and the Angle and MA values were significantly increased in the patients with elevated glycated hemoglobin and glycosylated hemoglobin (P <0.05) . Conclusion The blood of patients with diabetes mellitus with ischemic stroke showed hypercoagulable state, and the patients with elevated glycated hemoglobin were more obvious.