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2型糖尿病并发急性脑梗死与高同型半胱氨酸血症的关系 被引量:16

Relationship between the level of plasma homocysteine and type 2 diabetes melltus patients with ischemic cerebrovascular disease
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摘要 目的 探讨高同型半胱氨酸血症与2型糖尿病合并急性脑梗死的关系.方法 检测糖尿病合并急性脑梗死患者87例、单纯2型糖尿病(T2DM)患者72例、健康对照组67例的同型半胱氨酸(Hcy)、空腹血糖以及各项血脂指标,并探讨其相互关系.结果 糖尿病合并急性脑梗死组Hcy[(15.7±9.7)nmol/L]水平明显高于对照组[(11.9±7.2)nmol/L],差异有统计学意义;亦明显高于单纯糖尿病组[(13.5±6.1)nmol/L],差异无统计学意义.结论 Hcy可能参与了糖尿病及血管病变的发生与发展,高Hcy血症是糖尿病并发急性脑梗死的独立危险因素. Objective To study the relationship between serum homocysteine level and acute type 2 diabetes mellitus complicated with cerebral infarction.Methods Patients were divided into three groups:acute diabetic cerebral infarction group including 87 patients,diabetes mellitus including 72 patients and control group including 67 healthy persons.The HCY,folic acid,VitB12 and serum lipid were determined.The data was analyzed and the relationship was discussed.Results The level of HCY in diabetic cerebral infarction group[(15.7 ±9.7)nmol/L]was much higher than that in the other two groups[(11.9±7.2)nmol/L and(13.5±6.1)nmol/L].Conclusion HCY maybe participate in occurrence and development of diabetes and pathological changes of blood vessels.It was an independent risk factor of acute cerebral infarction.
作者 余亮 余传庆
出处 《中国基层医药》 CAS 2011年第9期1178-1179,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 同型半胱氨酸血症 糖尿病 脑梗死 Serum homocysteine Diabetes mellitus Cerebral infarction
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