糖耐量减低与脑梗死患者颈动脉粥样硬化的关系初探
逄锦晶;张伟;丁静;马宾宾;孙晓艳
【期刊名称】《中华全科医师杂志》 【年(卷),期】2009(008)003
【摘要】One hundred and sixty non-diabetic patients with cerebral ischemia of primary onset were enrolled in the study. The patients were divided into impaired glucose tolerance (IGT) group and normal glucose tolerance (NGT) group according to the oral glucose tolerance test (OGTT). Carotid atherosclerosis and carotid artery stenosis were examined with vascular Doppler ultrasonic detection. The incidence rates of carotid atherosclerosis in IGT group and NGT group were 87. 5% (70/80)and 63.8% (51/80)respectively (χ2= 12.240,P <0.001);the incidence rates of carotid stenosis in IGT group and NGT group were 63.8% (51/80) and 47. 5 % (38/80), respectively(χ2 =4. 279, P =0. 039);the degree of carotid artery stenosis in IGT group was higher than that in NGT group(χ2= 21.95, P < 0. 01). The results indicate that IGT may be related to atherosclerosis and stenosis of carotid artery in cerebral ischemic patients.%选择2006年7月至2008年1月在我院神经内科住院的初发脑梗死且排除糖尿病患者160例,根据简化糖耐量(OGTT)实验结果分为糖耐量减低(IGT)组80例和耐量正常(NGT)组80例,采用动脉血管超声检查颈动脉粥样硬化及颈动脉狭窄程度.结果 示脑梗死IGT组和NGT组颈动脉粥样硬化斑块发生率分别为87.5%(70/80)、63.8%(51/80),差异有统计学意义