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Glycemic control, mortality, and hypoglycemia in critically ill patients: a systematic review and network meta-analysis of randomized controlled trials.危重症患者的血糖控制、死亡率和低血糖:随机对照试验的系统评价和网状荟萃分析。
Intensive Care Med. 2017 Jan;43(1):1-15. doi: 10.1007/s00134-016-4523-0. Epub 2016 Sep 16.
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Diabetes and Stroke: Epidemiology, Pathophysiology, Pharmaceuticals and Outcomes.糖尿病与中风:流行病学、病理生理学、药物治疗及预后
Am J Med Sci. 2016 Apr;351(4):380-6. doi: 10.1016/j.amjms.2016.01.011.
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Hyperglycemia and incidence of ischemic and hemorrhagic stroke-comparison between fasting and 2-hour glucose criteria.高血糖与缺血性和出血性卒中的发病率——空腹血糖和餐后2小时血糖标准的比较
Stroke. 2009 May;40(5):1633-7. doi: 10.1161/STROKEAHA.108.539650. Epub 2009 Mar 12.
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Pattern of stroke in type 2 diabetic subjects versus non diabetic subjects.2型糖尿病患者与非糖尿病患者的中风模式。
J Ayub Med Coll Abbottabad. 2007 Oct-Dec;19(4):64-7.
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Diabetic and non-diabetic subjects with ischemic stroke: differences, subtype distribution and outcome.患有缺血性中风的糖尿病患者和非糖尿病患者:差异、亚型分布及预后
Nutr Metab Cardiovasc Dis. 2008 Feb;18(2):152-7. doi: 10.1016/j.numecd.2007.02.003. Epub 2007 Aug 16.
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Echocardiography and carotid sonography in diabetic patients after cerebrovascular attacks.脑血管意外后糖尿病患者的超声心动图与颈动脉超声检查
J Int Med Res. 2006 Nov-Dec;34(6):689-94. doi: 10.1177/147323000603400616.
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Stroke patterns, etiology, and prognosis in patients with diabetes mellitus.糖尿病患者的中风模式、病因及预后
Neurology. 2004 May 11;62(9):1558-62. doi: 10.1212/01.wnl.0000123252.55688.05.
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The impact of diabetes mellitus on in-hospital stroke mortality.糖尿病对住院期间卒中死亡率的影响。
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Association between diabetes and stroke subtype on survival and functional outcome 3 months after stroke: data from the European BIOMED Stroke Project.糖尿病与卒中后3个月生存及功能转归的卒中亚型之间的关联:来自欧洲生物医学卒中项目的数据。
Stroke. 2003 Mar;34(3):688-94. doi: 10.1161/01.STR.0000057975.15221.40. Epub 2003 Feb 6.
10
Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment.急性缺血性卒中亚型分类。多中心临床试验中使用的定义。TOAST。急性卒中治疗中Org 10172试验。
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三级医疗中心重症监护病房中伴有或不伴有2型糖尿病患者的脑血管意外概况

Profile of cerebrovascular accidents in subjects with or without type 2 diabetes mellitus in intensive care units of tertiary care centre.

作者信息

Jain Dinesh, Chawala Mukesh, Paul Birinder S, Mittal Naveen, Jain Aayush, Puri Sandeep

机构信息

Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Department of Neurology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2020 Apr-Jun;36(2):251-254. doi: 10.4103/joacp.JOACP_181_14. Epub 2020 Jun 15.

DOI:10.4103/joacp.JOACP_181_14
PMID:33013043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7480310/
Abstract

BACKGROUND AND AIMS

Diabetes Mellitus (DM) is a modifiable and independent risk factor for stroke. As the clinical features, radiological profile, outcome and prognosis of the stroke in type 2 diabetic and non diabetic patients are significantly variable, we proposed to evaluate these variations of stroke in patients with or without Type 2 DM.

MATERIAL AND METHODS

A prospective study was conducted from January, 2011 to June, 2012 on in-hospital admitted diabetic and non diabetic patients presenting with stroke. Data was recorded on a predesigned Performa.

RESULTS

A total of 150 cases were enrolled into the study. Out of these, 66% of patients had ischemic stroke and 34% of patients had hemorrhagic stroke. Type 2 diabetes mellitus was present in 52% patients. Ischemic stroke was significantly higher in diabetics than non diabetics ( = 0.007); however, hemorrhagic stroke was more in non diabetics. Mean age was significantly higher in diabetics ( = 0.04). CAD ( = 0.04), recurrent stroke ( = 0.006) had significant association with diabetes. Large vessel stroke was more common than small vessel stroke. Anterior circulation stroke was more common than posterior circulation stroke. There was significant improvement in morbidity and disability of the patients on follow up with treatment.

CONCLUSIONS

A greater incidence of anterior circulation ischemic stroke, and recurrent strokes occur in patients with DM.

摘要

背景与目的

糖尿病(DM)是卒中可改变的独立危险因素。由于2型糖尿病患者和非糖尿病患者卒中的临床特征、影像学表现、结局及预后存在显著差异,我们拟评估2型糖尿病患者与非2型糖尿病患者卒中的这些差异。

材料与方法

2011年1月至2012年6月,对住院的卒中糖尿病患者和非糖尿病患者进行了一项前瞻性研究。数据记录在预先设计的表格上。

结果

共150例患者纳入研究。其中,66%的患者为缺血性卒中,34%的患者为出血性卒中。52%的患者患有2型糖尿病。糖尿病患者的缺血性卒中显著高于非糖尿病患者(P = 0.007);然而,非糖尿病患者的出血性卒中更多。糖尿病患者的平均年龄显著更高(P = 0.04)。冠心病(P = 0.04)、复发性卒中(P = 0.006)与糖尿病有显著关联。大血管卒中比小血管卒中更常见。前循环卒中比后循环卒中更常见。随访治疗后患者的发病率和残疾情况有显著改善。

结论

糖尿病患者前循环缺血性卒中和复发性卒中的发生率更高。