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目的:分析脑梗死病人低钠血症的发生情况以及与营养相关因素的关系,旨在提高临床综合治疗效果。方法:对240例脑梗死病人,于入院后第2天清晨空腹抽取静脉血,检测血清钠、血红蛋白、总蛋白、清蛋白、C-反应蛋白和淋巴细胞计数,并进行统计学分析。结果:240例脑梗死病人发生低钠血症者为61例,占25.42%。低钠组病人血清总蛋白、清蛋白、血红蛋白、淋巴细胞计数均明显低于血钠正常组,C-反应蛋白显著高于血钠正常组(P<0.05)。脑梗死病人血清钠与总蛋白、清蛋白、血红蛋白和C-反应蛋白之间具有明显相关性(P<0.05)。结论:脑梗死病人低钠血症与机体营养不良因素密切相关,在纠正低钠血症的同时,要加强病人营养支持,从而提高临床综合治疗的效果。
Objective: To analyze the incidence of hyponatremia in patients with cerebral infarction and the relationship with nutritional factors, aimed at improving the clinical efficacy of comprehensive treatment. Methods: In 240 patients with cerebral infarction, venous blood was taken on the morning of the second day after admission and the serum sodium, hemoglobin, total protein, albumin, C-reactive protein and lymphocyte counts were measured and statistically analyzed. Results: Among the 240 cerebral infarction patients, 61 cases were hyponatremia, accounting for 25.42%. Serum total protein, albumin, hemoglobin and lymphocyte counts in patients with low sodium group were significantly lower than those in normal sodium group and C-reactive protein was significantly higher than that in normal sodium group (P <0.05). There was a significant correlation between serum sodium and total protein, albumin, hemoglobin and C-reactive protein in patients with cerebral infarction (P <0.05). Conclusions: Hyponatremia in patients with cerebral infarction is closely related to the malnutrition factors in the body. While correcting hyponatremia, it is necessary to strengthen patient nutrition support and improve the effect of clinical comprehensive treatment.