目的分析研究非急性期脑血管病患者血糖及其相关因素的临床意义。方法以43例非急性期脑血管病患者(A组)及35例正常体检者(B组)为研究对象,两组(其中A组于发病2周后)均行糖耐量试验,测定空腹胰岛素(FINS),测量身高、体重、腰围,计算体重指数(BMI)及胰岛素抵抗指数(HOMA-IR),比较两组间的数据。结果 A组体重、BMI、腰围和FBG均较B组高,有统计学意义(P〈0.05),餐后两小时血糖(PBG)、HOMA值、LnInS值明显高于B组(P〈0.001)。结论高血糖是非急性期脑血管病患者普遍存在的危险因素,其与动脉粥样硬化的其它危险因素共同作用导致发病。
Objective To analyze the clinical significance of blood glucose and correlative factors in patients with chronic cerebrovascular diseases.Methods Oral glucose tolerance test(OGTT),fasting insulin(FINS),height,weight,waist circumference,body mass index(BMI) and insulin resistance index(IR) were measured in the two groups.In group A,43 patients with chronic cerebrovascular disease.In group B,35 healthy cases.In Group A,OGTT were taken after two weeks of stroke incidence.The data of two groups were compared.Results The weight,BMI,waist circumference and FBG in group A were higher than those in group B(P 0.05),PBG,HOMA index and LnIns in group A were significantly higher than those in B group(P 0.05).Conclusion Hyperglycemia is the general risk factor in patients with chronic cerebrovascular disease which co-function with other risk factors that cause atherosclerosis.