心脑血管病防治2017，Vol.17Issue(1)：13-16,4.DOI:10.3969/j.issn.1009-816x.2017.05
急性脑梗死合并2型糖尿病患者CISS分型与血脂、红细胞分布宽度的关系
The Association among Blood lipid, Red Blood Cell Volume Distribution Width(RDW) and China Ischemic Stroke Subclassification (CISS) Subtypes of Ischemic Stroke Patients Combined with Type 2 Diabetes
陈海林 1刘宁 2陈军 2谷有全 2陈江君 2赵俊杰1
作者信息
- 1. 730000 兰州大学第一临床医学院
- 2. 730000 兰州大学第一附属医院神经内科
- 折叠
摘要
Abstract
Objective To analyze the association among blood lipid,RDW and CISS Subtypes of ischemic stroke combined with type 2 diabetes.Methods 376 patients of acute cerebral infarction with type 2 diabetes were collected as the sample of observation.CISS classification into the subcategories was determined via predefined specific clinical and imaging criteria.All of them being detected blood lipid and RDW level by extracting of fasting venous blood.To analyze correlation between blood lipid,RDW and CISS Subtypes.Results 5 major categories of the CISS classification were as follows:Large-Artery Atherosclerosis (LAA);Cardiogenic Stroke (CS);Penetrating Artery Disease (PAD);Other Etiology (OE);And Undetermined Etiology (UE).The LAA has had the highest proportion (50.70％),the UE ranked second (27.60％),followed by which is PAD (13.50％);The rest of them were respectively 8％ and 1.00％.The TC level of CS is lower than the other four subtypes (P ＜ 0.05),and the rest of them have had no difference (P ＞ 0.05).The age distribution of CS was higher than the other four subtypes (P ＜ 0.05).RDW level of CS was higher than the other four subtypes (P ＜ 0.05),and the rest of them had no difference (P ＞ 0.05);There was a negative correlation between cholesterol and CS.Age and RDW were independents risk factors of CS.Conclusions LAA and UE is the most common types in acute cerebral infarction patients with type 2 diabetes,"Cholesterol paradox" phenomenon exists in cardio embolic stroke,and testing TC,age,RDW values have important clinical significance to CISS classification.关键词
急性脑梗死/2型糖尿病/CISS分型/胆固醇悖论/红细胞分布宽度Key words
Acute cerebral infarction/Type 2 diabetes/China ischemic stroke subclassification/Cholesterol paradox/Red blood cell volume distribution width分类
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陈海林,刘宁,陈军,谷有全,陈江君,赵俊杰..急性脑梗死合并2型糖尿病患者CISS分型与血脂、红细胞分布宽度的关系[J].心脑血管病防治,2017,17(1):13-16,4.
