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作者测定了1059例45～64岁非胰岛素依赖型糖尿病(NIDDM)病人和1373例非糖尿病对照人员的心血管危险因素水平,并对中风进行了7年随访。以预测NIDDM中年病人的中风。 在1059例NIDDM病人中,男581例,女478例,125例有致命性或非致命性中风,其中34例死于中风。1373例非糖尿病对照人员中,男638例,女735例,30例有致命性或非致命性中风,其中5例死于中风。NIDDM男性患者中风危险率比相应非糖尿病对照人员高2～3倍,女性患者高5倍;先前中风史使中风再发危险率增高3倍;高血糖(血糖>13.4mmol/L)和高血红蛋白A_1(>10.7％)病人中风危险率比血糖控制较好病人
The authors measured cardiovascular risk factors in 1059 45-64-year-old non-insulin-dependent diabetes mellitus (NIDDM) patients and 1373 non-diabetic controls and conducted a seven-year follow-up of stroke. To predict stroke in middle-aged NIDDM patients. Among 1059 NIDDM patients, 581 were male and 478 were female, with 125 fatal or non-fatal strokes and 34 of them died of stroke. Of 1373 non-diabetic controls, 638 were male and 735 were women, with 30 fatal or non-fatal strokes and 5 deaths from stroke. The risk of stroke in men with NIDDM was 2 to 3 times higher than those in the corresponding non-diabetic controls and 5 times higher in women; the risk of stroke recurrence increased 3-fold in the previous stroke episode; hyperglycemia (13.4 mmol / L) and hyperhemoglobin A_1 (> 10.7%) patients had better risk of stroke than patients with better glycemic control