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目的:研究分析血液流变学、血清尿酸(英简UA)检测对评判糖尿病老年患者出现脑梗死的临床意义。方法:选择2011年4月-2014年4月期间在我院接受治疗72例2型糖尿病老年患者,根据是否并发脑梗死分成糖尿病组(38例患者)与脑梗死组(34例患者),另选择同期36例健康体检老人作为对照组。结果:糖尿病组患者的血清UA、血小板聚集率、纤维蛋白原、血浆黏度、血黏度均大于对照组(P<0.05);脑梗死组患者的各项指标又大于糖尿病组(P<0.05)。结论:检测糖尿病老年患者的血液流变学指标、血清UA能够有效预测脑梗死疾病,临床作用价值较高。
Objective: To study the clinical significance of hemorheology and serum uric acid (UA) in judging the cerebral infarction in elderly patients with diabetes mellitus. Methods: A total of 72 elderly patients with type 2 diabetes who were treated in our hospital from April 2011 to April 2014 were selected and divided into diabetic group (38 patients) and cerebral infarction group (34 patients) according to whether they had cerebral infarction or not. Select the same period 36 cases of healthy elderly as a control group. Results: The serum UA, platelet aggregation rate, fibrinogen, plasma viscosity and blood viscosity in diabetic group were significantly higher than those in control group (P <0.05). The indexes in cerebral infarction group were higher than those in diabetic group (P <0.05). Conclusion: It is of great value in the clinical application to detect the hemorrheological indexes in elderly patients with diabetes mellitus. Serum UA can effectively predict the disease of cerebral infarction.