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目的：探讨胰岛素抵抗与急性脑血管病的相关性。方法：放免法测定空腹血清胰岛素值及血糖、血脂、纤维蛋白原、体重指数（ＢＭＩ）。住院脑血管病人２４１例与１０２例健康职工对照。结果：单因素分析胰岛素抵抗（ＩＲ）病人患脑血管病（ＣＶＤ）的相对危险率明显增高，但多元线性回归分析ＩＲ并非ＣＶＤ的独立危险因素。结论：ＨＩ是通过“Ｘ综合征”及其对纤维蛋白原的影响而成为ＣＶＤ的危险因素
Objective: To investigate the relationship between insulin resistance and acute cerebrovascular disease. Methods: Fasting serum insulin and blood glucose, blood lipid, fibrinogen and body mass index (BMI) were determined by radioimmunoassay. 241 cases of hospitalized patients with cerebrovascular disease and 102 healthy workers control. Results: The relative risk of cerebrovascular disease (CVD) in univariate analysis of insulin resistance (IR) patients was significantly higher, but multivariate linear regression analysis of IR was not an independent risk factor for CVD. Conclusion: HI is a risk factor for CVD through “Syndrome X” and its effect on fibrinogen