关键词: 脑缺血发作; 短暂性; 葡萄糖代谢障碍; 血糖

Abstract: Objective To investigate the glucose metabolism of inpatients with transient ischemic attack (TIA).Methods One hundred and twenty-nine inpatients with TIA from July 2007 to March 2009 werecollected. We recorded the clinical features and biochemical indices of all patients. Head computedtomography (CT) or magnetic resonance imaging (MRI) was performed.Results In all patients, 72 cases (55.8%) had abnormal blood glucose, including 35 cases (27.1%)of diabetes and 37 cases (28.7%) impaired glucose tolerance; 57 cases (44.2%) were normalglucose tolerance. Fifty eight cases were anterior circulation patients, 31 cases were abnormalblood glucose (53.4%); 71 cases were posterior circulation patients, 41 cases were abnormal bloodglucose (57.7%).The abnormal blood glucose frequency between anterior circulation and posteriorcirculation do not have statistical significance.Conclusion Most of TIA patients have impaired glucose regulation. In the frequency, anterior andposterior circulation patients with abnormal glucose metabolism do not have statistical significance.Oral glucose tolerance test (OGTT) can more accurately detect abnormal glucose metabolismpatients.

Key words: Ischemic attack; transient; Glucose metabolism disorders; Blood glucose