唐妍妍;汤永红;

• 1:南华大学附属南华医院
• 2:南华大学附属永州中心医院

摘要(Abstract)：

目的探讨糖化血红蛋白(HbA1c)、血脂、颈动脉粥样硬化与前后循环梗死相关性分析。方法选择湖南永州市中心医院神经内科一区的急性脑梗死患者247例,男161例,女86例,年龄41～84岁,分别记录患者年龄、性别、入院时血压、血糖、糖化血红蛋白、血清甘油三酯、胆固醇、低密度脂蛋白、颈动脉斑块性质、梗死部位、NIHSS评分、MRS评分,并进行分析。结果按脑梗死部位区分前循环梗死及后循环梗死(PCI),HbA1c分3组,HbA1c≤6.1%(第一组)、6.1%7.1%(第3组),结果显示甘油三酯在3组间差异有统计学意义,第3组高于第一、二组;高密度脂蛋白在3组间具有显著性差异,第3组低于第一、二组。HbA1c每升高一个单位,糖尿病患者发生颈动脉不稳定斑块的危险性升高2.6%,发生后循坏梗死的危险性升高7.2%,但差异均无统计学意义(P>0.05)。结论糖化血红蛋白、血脂、颈动脉粥样硬化与前后循环脑梗死有相关关系。

关键词(KeyWords)： 前循环脑梗死;后循环脑梗死;糖化血红蛋白;血脂;颈动脉粥样硬化

Abstract:

Keywords:

基金项目(Foundation): 永州市科研项目[编号:永科联(2017)4号]

作者(Authors): 唐妍妍;汤永红;

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