摘要
Abstract
Objective To explore the correlation between plasma fibrinogen content and prognosis in patients with acute cerebral in -farction.Methods A total of 106 patients with non-cardiogenic cerebral infarction were enrolled .Fibrinogen in plasma from elbow vein was measured in 72 h after the disease attack.Neurological impairment was assessed using the national institutes of health stroke scale ( NIHSS) , the level of consciousness was evaluated by Glasgow coma scale ( GCS) , and the disability of living was estimated by Barthel index (BI) at 3 month after the disease attack.Results Plasma fibrinogen of 106 patients was 2.36-6.42 g/L [ (3.58 ± 0.76 ) g / L ] , with an increase in 6 8 cases (64.2 % ) .The single and multiple factor analysis showed that age (OR = 1 .026, P = 0.011),GCS (OR = 1.546,P=0.006),NIHSS (OR=1.358,P =0.042) and infarct size (OR = 1.256,P =0.024) were related to plasmatic fibrinogen content.The risk factors related to disability in living at 3 month after the disease attack included age ( OR = 3.598,P = 0.006),NIHSS (OR= 5.110,P =0.001),infarct size (OR= 2.286,P =0.026) and fasting blood glucose (OR = 1.024, P=0.021) ,while plasmatic fibrinogen content was excluded (OR=2.783,P = 0.259).Conclusion Increased plasma fibrinogen is a common performance in non-eardiogenic cerebral infarction.Plasma fibrinogen content is closely related to the severity of cerebral in -farction and disability at 3 month after the disease attack.关键词
脑梗死/纤维蛋白原/预后Key words
cerebral infarction / fibrinogen/ prognosis分类
医药卫生
