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缺血性脑卒中急性期超敏C-反应蛋白水平变化与进展性卒中的相关性

姚涛 任明山 李淮玉

实用医学杂志2016,Vol.32Issue(5):735-738,4.
实用医学杂志2016,Vol.32Issue(5):735-738,4.DOI:10.3969/j.issn.1006-5725.2016.05.015

缺血性脑卒中急性期超敏C-反应蛋白水平变化与进展性卒中的相关性

The correlation study between the level of high-sensitivity C-reactive protein in acute phase of ischemic ;stroke and progressive stroke

姚涛 1任明山 1李淮玉1

作者信息

  • 1. 230001 合肥市,安徽医科大学附属省立医院神经内科
  • 折叠

摘要

Abstract

Objective To study the correlation of the level of high-sensitivity C-reactive protein (Hs-CRP) in the acute phase of ischemic stroke and progressive stroke. Methods 101 patients with acute ischemic stroke were collected. Serum Hs-CRP of all patients were measured at 24 hours after admission , the onset of 48 hours, the onset of 72 hours by latex enhanced immune turbidity method. According to their serum Hs-CRP lev-els, the patients were divided into the group of Hs-CRP sustained growth (n = 35) and the group of non Hs-CRP sustained growth (n = 66). The NIHSS scores were assessed on two groups of patients , Logistic regression analysis was made to screen the related factors of Hs-CRP increase and the possible risky factors for progressive ischemic stroke. Results There was a significant difference of serum Hs-CRP level between the two groups (P <0.001). The incidence of progressive stroke in the group of Hs-CRP sustained growth was significantly higher than that in the group of non Hs-CRP sustained growth (χ2 = 32.710, P < 0.001). Logistic regression analysis showed blood glucose , white blood cell count , triglyceride level and NIHSS scores at admission were associated with sustained growth of Hs-CRP and the factors that they included Hs-CRP sustained growth , admission NIHSS scores, diabetes mellitus and pulmonary infection were regarded as independent risk factors. Conclusion The sustained growth of Hs-CRP in the acute phase of ischemic stroke is an independent predictor of progressive stroke.

关键词

卒中/炎症/超敏C反应蛋白/进展性卒中

Key words

Stroke/Inflammation/High-sensitivity C reactive protein/Progressive stroke

引用本文复制引用

姚涛,任明山,李淮玉..缺血性脑卒中急性期超敏C-反应蛋白水平变化与进展性卒中的相关性[J].实用医学杂志,2016,32(5):735-738,4.

基金项目

安徽省医学科研课题 ()

实用医学杂志

OA北大核心CSTPCD

1006-5725

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