摘要
目的:分析北京地区伴糖尿病缺血性卒中(Ischemic Stroke,IS)和短暂性脑缺血发作(Transient ischemia attach,TIA)患者的二级预防状况。方法:本研究采用横断面调查(现况调查)方法,对北京11家二、三级医院神经内科门诊连续就诊IS或TIA患者进行问卷式调查,得到数据整合分析。结果:北京地区11家医院,2006年7月1～8月15日期间总计有1247例卒中患者的数据纳入分析中。伴2型糖尿病的患者351(351/1238,28.4%),其中接受降血糖药物治疗者273例(273/323,84.5%),未用药者50例(50/323,15.5%)。各类降糖药物使用情况依次为双胍类126(126/351,35.9%)、α-糖苷酶类97(97/351,27.6%)、磺脲类90(90/351,25.6%)、胰岛素63(63/351,17.9%)。口服抗血小板药物病例282例(282/348,81.0%)。获得空腹血糖数据病例数219例(62.4%),血糖控制良好(4.4～6.1mmol/L)、一般(≤7.0mmol/L)和不良(>7.0mmol/L)的比例数分别为27.9%、23.3%和48.9%。获得餐后血糖数据病例数152例(43.3%),其血糖控制良好(4.4～8.0mmol/L),一般(≤10.0mmol/L),不良(>10.0mmol/L)比例数分别为30.9%、30.9%和38.2%。获得血压数据345名(345/351,98.3%),血压达标(BP<130/80mmHg)43名(43/345,12.5%),未达标(BP≥130/80mmHg)302名(302/345,87.5%)。伴2型糖尿病患者中89名(89/351,25.4%)患者有LDL的记录,LDL达标(LDL≤2.6mmol/L)的患者39例(39/89,43.8%)。结论:伴糖尿病缺血性脑卒中患者血糖、血压和血脂情况患者记录比率低、控制达标率低,临床医生应当依照临床指南要求加强对这些伴有糖尿病的IS和TIA患者的教育和治疗,使其进行严格的血糖、血压和血脂的监控和管理。
Objective：Background and objective：The aim of this investigation was to evaluate the current status of secondary prevention in patients of Ischemic Stroke（IS） and Transient Ischemic Attack（TIA） with DM in 10 hospitals in Beijing,China.Methods：A cross-sectional（current status） survey was applied to study the current secondary prevention of stroke in the consecutively collected patients with IS or TIA in neurological clinics in the 10 Grade Ⅱ or Ⅲ hospitals in Beijing,China from June 1 to August 15 in 2006.Results：Data from total 1247 stroke patients of 11 hospitals in Beijing from June 1 to August 15 in 2006 were collected for analysis.There were 351（28.4%） patients accompanied with diabetic mellitus in all the 1238 IS or TIA patients.In 351 type 2 diabetic mellitus patients,273（273/323,84.5%） patients accept hypoglycemic agent therapy,50（50/323,15.5%） patients did not accept any medication.The use of drug in order was Biguanides 126（126/351,35.9%）,123（123/336,36.6%）,α-glucosidase 97（97/351,27.6%）,sulph anylureas 90（90/351,25.6%） and Insuline 63（63/351,17.9%）.There were 282（282/348,81.0%） patients taking antiplatelet drugs.There were219（62.4%）patients testing the fasting blood glucose and recording the data,among them the patients had good control of the blood glucose（4.4～6.1 mmol/L） was 27.9%,had common control（≤7.0 mmol/L）was 23.3% and bad control was 48.9%.There were 152（43.3%） patients testing the postprandial blood sugar and recording the data,among them the good,common and bad control of the blood glucose were 30.9%、30.9% and 38.2% each.The patients who had recorded the blood pressure was 345（345/351,98.3%）,among them there were 43（43/345,12.5%）patients had good control（BP〈130/80mmHg）of the blood pressure and 302（302/345,87.5%）had bad control（BP≥130/80mmHg）.Among the 351 type 2 diabetic mellitus patients,there were only 89 patients（89/351,25.4%）had recorded the LDL（low density lipoprotein）,low d
出处
《脑与神经疾病杂志》
2008年第4期241-245,共5页
Journal of Brain and Nervous Diseases
基金
"十一五"国家科技支撑计划项目(2006BAI01A11)
北京市科学技术委员会重大项目(D0805004040231)
关键词
卒中
糖尿病
二级预防
stroke diabetes mellitus secondary prevention
