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目的 了解 2型糖尿病合并脑血管疾病患者在首发脑血管疾病时 2型糖尿病的诊断状况及相关临床表现。方法 入选对象为本院 2 0 0 2年 1月至 2 0 0 3年 5月在本院内分泌科及神经内科住院的 2型糖尿病合并脑血管疾病患者 ,按已明确诊断 2型糖尿病、首次确诊 2型糖尿病分组 ,将入选者临床及实验室资料进行统计分析。结果 在这些脑血管疾病患者中新确诊的 2型糖尿病占总数的 2 7.66% ,两组体重指数均超标 ,新确诊的 2型糖尿病组其体重指数显著高于以往已明确诊断 2型糖尿病者 ,高血压的患病率分别为 79.49%和 84.78% ,年龄、血糖、血脂等临床指标相似。结论 糖尿病患者在被诊断时已患病数月至数年 ,老年糖尿病合并高血压、肥胖、高血脂易并发脑血管疾病 ,糖尿病患者未及时诊治或治疗不达标是导致并发脑血管疾病的重要因素之一。
Objective To investigate the diagnosis and clinical manifestation of type 2 diabetes mellitus (T2DM) in patients with type 2 diabetes mellitus and cerebrovascular disease. Methods The subjects were type 2 diabetes mellitus patients with cerebrovascular disease who were hospitalized in Department of Endocrinology and Neurology in our hospital from January 2002 to May 2003. According to the diagnosis of type 2 diabetes mellitus, Type 2 diabetes group, the selected clinical and laboratory data for statistical analysis. Results In these patients with cerebrovascular disease newly diagnosed type 2 diabetes accounted for 2 7.66% of the total number of two groups of body mass index were exceeded, newly diagnosed type 2 diabetes body mass index was significantly higher than the previous diagnosis of type 2 diabetes mellitus, The prevalence rates of hypertension were 79.49% and 84.78%, respectively. The clinical indexes such as age, blood glucose and blood lipid were similar. Conclusion Diabetes patients have been diagnosed for several months to several years. Elderly patients with diabetes mellitus complicated by hypertension, obesity and hyperlipemia are complicated by cerebrovascular diseases. Failure to timely diagnose or treat patients with diabetes mellitus is an important factor leading to cerebrovascular disease one.