Jain Dinesh, Chawala Mukesh, Paul Birinder S, Mittal Naveen, Jain Aayush, Puri Sandeep
Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Department of Neurology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
J Anaesthesiol Clin Pharmacol. 2020 Apr-Jun;36(2):251-254. doi: 10.4103/joacp.JOACP_181_14. Epub 2020 Jun 15.
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.
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.
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.
A greater incidence of anterior circulation ischemic stroke, and recurrent strokes occur in patients with DM.
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。
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。
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。
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。