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老年2型糖尿病患者血纤维蛋白原、血脂与缺血性脑卒中的关系

黄虹 吴天凤 江缨 袁放 郑和昕 俞晓映

浙江医学2012,Vol.34Issue(9):705-707,3.
浙江医学2012,Vol.34Issue(9):705-707,3.

老年2型糖尿病患者血纤维蛋白原、血脂与缺血性脑卒中的关系

Association of plasma fibrinogen and lipids levels with ischemic stroke in elderly type 2 diabetic patients

黄虹 1吴天凤 1江缨 1袁放 1郑和昕 1俞晓映1

作者信息

  • 1. 310013,杭州,浙江医院内分泌科
  • 折叠

摘要

Abstract

Objective To investigate the correlation of plasma fibrinogen (FIB) and lipids levels with ischemic stroke in elderly type 2 diabetic patients. Methods Total152 elderly type 2 diabetic patients, including 42 ischemic stroke cases and 110 no stroke cases were included in the study. The clinical and laboratory data, including hypertension rate, blood fibrinogen (FIB), fasting plasma glucose(FPG), postprandial 2h plasma glucose(2hPG), HbAlc, triglyceride(TG), total cholesterol(TC), low-density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C), non-high-density lipoprotein cholesterol (non HDL-C) and other indicators were retrospectively analyzed and compared between two groups. Results The age, hypertension rate, FIB, TG, TC, and non HDL-C of ischemic stroke group were significantly higher than those of no stroke group (P<0.05). Logistic regression analysis showed that the age, high fibrinogen, high triglyceride levels were independent risk factors for ischemic stroke in elderly type 2 diabetic patients. Conclusion The results indicate that early active treatments of anticoagulant, antifibrinolytic, comprehensive lipid-lowering, active control of blood glucose, blood pressure are of great clinical significance to prevent and delay the incidence and development of ischemic stroke in elderly type 2 diabetic patients.

关键词

老年/2型糖尿病/纤维蛋白原/缺血性脑卒中

Key words

Elderly/Type 2 diabetes/Fibrinogen/Ischemic stroke

引用本文复制引用

黄虹,吴天凤,江缨,袁放,郑和昕,俞晓映..老年2型糖尿病患者血纤维蛋白原、血脂与缺血性脑卒中的关系[J].浙江医学,2012,34(9):705-707,3.

浙江医学

OACSTPCD

1006-2785

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