临床神经病学杂志2013，Vol.26Issue(3)：177-179,3.
影响急性脑梗死患者治疗效果的相关因素分析
Related factors of influence curative effects in patients with acute cerebral infarction
摘要
Abstract
Objective To explore the related factors of influence curative effects in patients with acute cerebral infarction(ACI).Methods Three hundred and sixty cases of ACI patients were given standardized treatment in stroke unit.The patients were scored with United States National Institutes of Health Stroke Scale (NIHSS),and blood routine,biochemical indexes were measured before and 14 d after treatment.The related indexes with NIHSS scores after treatment were analyzed by logistic regression analysis.Results Compared with before treatment,the level of Lipoprotein(a) [LP(a)],uric acid(UA),two D-dimer (D-D),high sensitive C reactive protein (hs-CRP)were significantly decreased in each ACI subgroup; blood glucose in light,moderate subgroups and direct bilirubin in moderate,severe subgroups were significantly decreased (all P ＜ 0.05).The blood homocysteine (Hcy) levels in severe subgroup before treatment were significantly higher than that in light,moderate subgroups (all P ＜ 0.05).The multivariate logistic regression analysis showed that NIHSS score after intervention treatment related with levels of blood glucose,hs-CRP,Hcy,UA,D-D,LDL and Lp (a) (OR =1.235-4.042,P ＜ 0.05 ～ 0.001).Conclusion The blood glucose,hs-CRP,Hcy,UA,D-D,LDL and Lp(a) are related factors to influence the curative effects of ACI patients.关键词
急性脑梗死/干预治疗/疗效Key words
acute cerebral infarction/ intervention therapy/ curative effects分类
医药卫生引用本文复制引用
董艳玲,王荣桂,李瑶宣,蔺心敬,梁浩..影响急性脑梗死患者治疗效果的相关因素分析[J].临床神经病学杂志,2013,26(3):177-179,3.基金项目
广西壮族自治区卫生厅项目(Z2009150) （Z2009150）
