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外周血白细胞与急性缺血性卒中的相关性研究

栗静 田婷 石正洪 冯斌

中国实用神经疾病杂志2017,Vol.20Issue(6):1-5,5.
中国实用神经疾病杂志2017,Vol.20Issue(6):1-5,5.

外周血白细胞与急性缺血性卒中的相关性研究

Correlation of leukocyte counts in the peripheral blood with acute ischemic stroke

栗静 1田婷 1石正洪 1冯斌1

作者信息

  • 1. 兰州大学第二医院神经内科 兰州 730000
  • 折叠

摘要

Abstract

Objective To investigate the relationship between the early leukocyte counts and its subtypes in the peripheral blood with the incidence and development of acute ischemic stroke(AIS).Methods A total of 588 patients with AIS and 630 pa-tients free of stroke matched with gender and age were recruited in this study.The clinical data of the two groups were compared and the multi-factor Logistic regression was used.AIS patients were divided into lacunar AIS group(n=151)and non-lacunar AIS group(n=437)according to infarction size scanned by CT or MRI.The related leukocyte parameters of the two groups were com-pared and the multi-factor Logistic regression was used.Results The leukocyte counts,neutrophil counts and neutrophil to lym-phocyte ratio(NLR)in the AIS group were higher than those in the control group(P<0.05);the Logistic regression analysis showed that the leukocyte counts(OR=1.073,95%CI:1.017~1.132,P=0.009)and neutrophil counts(OR=1.068,95% CI:1.001~1.139,P=0.046)entered the regression equation.Compared with the lacunar AIS group,the leukocyte counts of the non-lacunar AIS group was higher,with a statistically significant difference(P<0.05);the Logistic regression analysis showed that the leukocyte counts(OR=0.898,95%CI:0.811~0.995,P=0.040)entered the regression equation.Conclusion The elevated leu-kocyte and neutrophil counts are independent risk factors for AIS,and the low leukocyte counts is independent risk factor for lacu-nar AIS.So the leukocyte counts has a certain predictive value in the incidence and infarction volume of AIS.

关键词

脑卒中/梗死面积/白细胞/中性粒细胞/中性粒细胞/淋巴细胞比值

Key words

Stroke/Infarction volume/Leukocyte/Neutrophil/Neutrophil to lymphocyte ratio

分类

医药卫生

引用本文复制引用

栗静,田婷,石正洪,冯斌..外周血白细胞与急性缺血性卒中的相关性研究[J].中国实用神经疾病杂志,2017,20(6):1-5,5.

基金项目

兰州科技计划项目(No.2011-1-134) (No.2011-1-134)

兰州市 2015年第二批科技计划项目(No.2015-2-57) (No.2015-2-57)

中国实用神经疾病杂志

1673-5110

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