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目的:研究分析急性脑梗死患者的生化指标和早期临床转归之间存在的联系。方法:选取汕尾市人民医院2011年2月-2012年12月接受入院治疗的240例脑梗死患者作为研究对象,所有患者均属于首次发病,并在24 h内检测患者的血脂、肝功能、凝血功能等方面,入院时对患者采用中国脑卒中量表(CSS)和美国国立卫生院神经功能缺损评分(NIHSS)量表进行评分,入院后的第10天对患者进行NIHSS评分。结果:通过研究分析发现,轻型、中型、重型这三组患者的纤维蛋白原、总胆红素、血钙、血尿酸、同型半胱氨酸这些项目的组间比较,差异具有统计学意义(P<0.05)。结论:急性脑梗死患者的生化指标和早期临床转归之间存在密切联系。
OBJECTIVE: To study the association between biochemical markers and early clinical outcome in patients with acute cerebral infarction. Methods: A total of 240 patients with cerebral infarction admitted to the People’s Hospital of Shanwei City from February 2011 to December 2012 were selected as the study subjects. All patients were the first to develop the disease, and their serum lipids, liver function, blood coagulation Function and other aspects, the patients were scored on the Chinese Stroke Scale (CSS) and the National Institutes of Health neurological deficit score (NIHSS) scale on admission, NIHSS score on the 10th day after admission. Results: Through the research and analysis, we found that the differences among the groups of fibrinogen, total bilirubin, serum calcium, serum uric acid and homocysteine among the three groups of light, medium and heavy were statistically significant ( P <0.05). Conclusion: There is a close relationship between biochemical indexes and early clinical outcome in patients with acute cerebral infarction.