血浆Hcy、FIB及hs-CRP水平与脑梗死严重程度及复发的相关性分析 |
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引用本文: | 陈捷 刘万平 彭张辉 何兴林 罗家明. 血浆Hcy、FIB及hs-CRP水平与脑梗死严重程度及复发的相关性分析[J]. 现代生物医学进展, 2015, 15(17): 3307-3309 |
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作者姓名: | 陈捷 刘万平 彭张辉 何兴林 罗家明 |
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作者单位: | 四川省广安市人民医院神经内科;川北医学院附属医院神经内科 |
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摘 要: | 目的:探讨血浆同型半胱氨酸(Hcy)、血浆纤维蛋白原(FIB)及超敏C反应蛋白(hs-CRP)水平与脑梗死严重程度及复发的关系。方法:回顾性分析本院收治的138例急性脑梗死患者的临床资料,应用神经功能缺损程度量表对患者脑梗死程度进行评定,监测血浆Hcy、FIB、hs-CRP水平,随访1年,分析以上各指标水平与脑梗死严重程度及复发的关系。结果:轻度、中度和重度脑梗死患者Hcy、FIB及hs-CRP水平比较差异均有统计学意义(P0.05);严重程度与Hcy、FIB及hs-CRP水平呈正相关性(r=0.51、0.43、0.39,P0.05);复发者FIB及hs-CRP水平均显著高于未复发者,比较差异有统计学意义(P0.05)。结论:血浆Hcy、FIB及hs-CRP水平越高脑梗死越严重,且脑梗死复发患者FIB及hs-CRP的水平显著上升,临床应紧密检测指标,尽早治疗以防止病情进一步恶化。
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关 键 词: | 脑梗死;血浆同型半胱氨酸;血浆纤维蛋白原;超敏C 反应蛋白;复发 |
Analysis of Correlation between Plasma Hcy, FIB and hs-CRP Levelsand the Severity of Cerebral Infarction and Recurrence |
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Abstract: | Objective:To investigate the correlation between plasma homocysteine (Hcy), plasma fibrinogen (FIB) and high sensitiveC reactive protein (hs-CRP) levels with the severity of cerebral infarction and recurrence.Methods:Clinical data of 138 cases of patientswith acute cerebral infarction were retrospectively analyzed in our hospital. The extent of cerebral infarction was evaluated by theneural function defect degree scale, surveyed the levels of Hcy, FIB, hs-CRP. Follow-up for 1 year, analyzed the correlation betweenabove indexes and the severity of cerebral infarction and recurrence.Results:There was a significant difference in Hcy, FIB and hs-CRPlevels among mild, moderate and severe cerebral infarction patients (P<0.05), the severity was associated positively with Hcy, FIB andhs-CRP (r=0.51, 0.43, 0.39, P<0.05); FIB and hs-CRP levels in the recurrence group were higher than the non recurrent group, there wasa significant difference (P<0.05).Conclusion:Plasma Hcy, FIB and hs-CRP level is higher, the cerebral infarction is more serious, andthe recurrence of cerebral infarction patients with FIB and hs-CRP level increased significantly. We should closely detecte the indexes,and recieve treatment as soon as possible in order to prevent further deterioration. |
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Keywords: | Cerebral infarction Homocysteine Plasma fibrinogen High sensitivityC reactive protein Recurrence |
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