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糖尿病(Diabetes,D)对脑梗塞(Cerebralinfarction,CI)、脑出血(Cerebral hemorrhage,CH)的发病率和预后存在多方面影响;而胰岛素抵抗(Insulinresistance,IR)不仅与D有关,而且与原发性高血压(Essential hypertension,EHP)、冠心病、血脂异常等密切相关,从而对CI、CH产生直接或间接影响。本文对此作一综述。 一、糖尿病对脑梗塞、脑出血发病率的影响 D是CI的独立危险因素,已为国内外学者所公认。D使CI的发病率升高、平均发病年龄提前。Burchfiel等对7549例日籍居于日、美的无冠心病、无中风史的男性作22年的追踪研究,据口服糖耐量试
Diabetes (D) has multiple effects on the incidence and prognosis of cerebral infarction (Cerebral Infarction, Cerebral Hemorrhage, CH); Insulin resistance (IR) is not only related to D, Essential hypertension (EHP), coronary heart disease, dyslipidemia and other closely related, thus CI, CH have a direct or indirect impact. This article gives a summary of this. First, the impact of diabetes on the incidence of cerebral infarction, cerebral hemorrhage D is an independent risk factor for CI, has been recognized by scholars at home and abroad. D so that the incidence of CI increased, the average age of onset in advance. Burchfiel and other 7549 Japanese-Japanese living in the United States without coronary heart disease, stroke-free history of 22-year follow-up study of men, according to oral glucose tolerance test