神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
NEURAL INJURY AND FUNCTIONAL RECONSTRUCTION
2013年
3期
194-196,230
,共4页
李小元%赵春晓%张金玉%洪刘%罗涛%张晓萍%李建军
李小元%趙春曉%張金玉%洪劉%囉濤%張曉萍%李建軍
리소원%조춘효%장금옥%홍류%라도%장효평%리건군
急性脑梗死%尿比重%早期神经功能恶化%NIHSS评分
急性腦梗死%尿比重%早期神經功能噁化%NIHSS評分
급성뇌경사%뇨비중%조기신경공능악화%NIHSS평분
acute cerebral infarction%urinary specific gravity%early neurological deterioration%NIHSS score
目的：探讨尿比重与急性脑梗死患者早期神经功能恶化（END）的相关性。方法：急性脑梗死患者158例，依据是否发生END分为非END组和END组，比较2组患者的临床资料和相关危险因素。结果：27例（17.1%）出现END（END组），131例（82.9%）症状稳定（非END组）。尿比重跃1.010在2组比较差异有统计学意义（P=0.037），尤其尿比重跃1.015在2组比较有显著差异（P=0.008），入院NIHSS评分逸12分患者比例在2组比较差异有统计学意义（P=0.036）。Logistic回归分析提示尿比重跃1.010、尿比重跃1.015与急性脑梗死患者发生END有良好的相关性（P=0.047，P=0.026）。结论：尿比重跃1.010可能与急性脑梗死患者发生END有相关性。
目的：探討尿比重與急性腦梗死患者早期神經功能噁化（END）的相關性。方法：急性腦梗死患者158例，依據是否髮生END分為非END組和END組，比較2組患者的臨床資料和相關危險因素。結果：27例（17.1%）齣現END（END組），131例（82.9%）癥狀穩定（非END組）。尿比重躍1.010在2組比較差異有統計學意義（P=0.037），尤其尿比重躍1.015在2組比較有顯著差異（P=0.008），入院NIHSS評分逸12分患者比例在2組比較差異有統計學意義（P=0.036）。Logistic迴歸分析提示尿比重躍1.010、尿比重躍1.015與急性腦梗死患者髮生END有良好的相關性（P=0.047，P=0.026）。結論：尿比重躍1.010可能與急性腦梗死患者髮生END有相關性。
목적：탐토뇨비중여급성뇌경사환자조기신경공능악화（END）적상관성。방법：급성뇌경사환자158례，의거시부발생END분위비END조화END조，비교2조환자적림상자료화상관위험인소。결과：27례（17.1%）출현END（END조），131례（82.9%）증상은정（비END조）。뇨비중약1.010재2조비교차이유통계학의의（P=0.037），우기뇨비중약1.015재2조비교유현저차이（P=0.008），입원NIHSS평분일12분환자비례재2조비교차이유통계학의의（P=0.036）。Logistic회귀분석제시뇨비중약1.010、뇨비중약1.015여급성뇌경사환자발생END유량호적상관성（P=0.047，P=0.026）。결론：뇨비중약1.010가능여급성뇌경사환자발생END유상관성。
Objective:To explore the correlation between urine specific gravity and early neurological deterio-ration (END)in acute cerebral infarction patients. Methods:One hundred and fifty-eight patients with acute cerebral infarction were divided into END group and non-END group according to the occurrence of END. Clinical data and relative risk factors were compared. Results:Twenty-seven cases (17.1%) worsened(END group)and the other 131 cases (68.9%) remained stable (non-END group). The urine specific gravity (>1.010) showed significant difference between the two groups (P=0.037), especially as the urine specific gravity>1.015 (P=0.008). The proportion of patients with NIHSS score≥12 at admission presented a significant dif-ference between the two groups (P=0.036). Logistic regression analysis shows that urine specific gravity>1.010, especially the urine specific gravity>1.015 correlates positively with END in patients with acute cere-bral infarction (P=0.047, P=0.026). Conclusion:Urine specific gravity>1.010 may correlate with END in pa-tients with acute cerebral infarction.
