实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2015年
1期
23-26
,共4页
脑缺血%红细胞分布宽度%预后
腦缺血%紅細胞分佈寬度%預後
뇌결혈%홍세포분포관도%예후
Brain ischemia%Red blood cell distribution width%Prognosis
目的：探讨红细胞分布宽度（ RDW）与缺血性脑卒中患者近期预后的关系。方法选取2012年5月—2014年5月武钢大冶铁矿职工医院收治的92例缺血性脑卒中住院患者作为卒中组，并将缺血性脑卒中患者分为A组（n＝79，为90 d内未再发脑梗死住院或死亡患者）和B组（n＝13，为90 d内再发脑梗死住院或死亡患者）；另选取同期在武钢大冶铁矿职工医院门诊进行体检的73例体检健康者作为对照组。收集研究对象的一般资料、入院后24 h内血常规、生化全套指标，并采用多因素Logistic回归分析缺血性脑卒中患者近期预后不良的危险因素。结果卒中组患者年龄、体质指数、高血压和糖尿病发生率、白细胞计数（ WBC）、RDW、尿素氮、空腹血糖、总胆固醇（ TC）、三酰甘油（ TG）及超敏 C 反应蛋白（ hs -CRP）均高于对照组，A 组患者年龄、高血压和糖尿病发生率、WBC、RDW、空腹血糖及hs-CRP低于B组（P﹤0.05）；多因素Logistic回归分析结果显示，年龄、高血压、WBC、RDW及hs-CRP是缺血性脑卒中患者近期预后不良的独立危险因素。结论缺血性脑卒中患者RDW明显升高，且RDW是患者近期预后不良的独立危险因素之一。
目的：探討紅細胞分佈寬度（ RDW）與缺血性腦卒中患者近期預後的關繫。方法選取2012年5月—2014年5月武鋼大冶鐵礦職工醫院收治的92例缺血性腦卒中住院患者作為卒中組，併將缺血性腦卒中患者分為A組（n＝79，為90 d內未再髮腦梗死住院或死亡患者）和B組（n＝13，為90 d內再髮腦梗死住院或死亡患者）；另選取同期在武鋼大冶鐵礦職工醫院門診進行體檢的73例體檢健康者作為對照組。收集研究對象的一般資料、入院後24 h內血常規、生化全套指標，併採用多因素Logistic迴歸分析缺血性腦卒中患者近期預後不良的危險因素。結果卒中組患者年齡、體質指數、高血壓和糖尿病髮生率、白細胞計數（ WBC）、RDW、尿素氮、空腹血糖、總膽固醇（ TC）、三酰甘油（ TG）及超敏 C 反應蛋白（ hs -CRP）均高于對照組，A 組患者年齡、高血壓和糖尿病髮生率、WBC、RDW、空腹血糖及hs-CRP低于B組（P﹤0.05）；多因素Logistic迴歸分析結果顯示，年齡、高血壓、WBC、RDW及hs-CRP是缺血性腦卒中患者近期預後不良的獨立危險因素。結論缺血性腦卒中患者RDW明顯升高，且RDW是患者近期預後不良的獨立危險因素之一。
목적：탐토홍세포분포관도（ RDW）여결혈성뇌졸중환자근기예후적관계。방법선취2012년5월—2014년5월무강대야철광직공의원수치적92례결혈성뇌졸중주원환자작위졸중조，병장결혈성뇌졸중환자분위A조（n＝79，위90 d내미재발뇌경사주원혹사망환자）화B조（n＝13，위90 d내재발뇌경사주원혹사망환자）；령선취동기재무강대야철광직공의원문진진행체검적73례체검건강자작위대조조。수집연구대상적일반자료、입원후24 h내혈상규、생화전투지표，병채용다인소Logistic회귀분석결혈성뇌졸중환자근기예후불량적위험인소。결과졸중조환자년령、체질지수、고혈압화당뇨병발생솔、백세포계수（ WBC）、RDW、뇨소담、공복혈당、총담고순（ TC）、삼선감유（ TG）급초민 C 반응단백（ hs -CRP）균고우대조조，A 조환자년령、고혈압화당뇨병발생솔、WBC、RDW、공복혈당급hs-CRP저우B조（P﹤0.05）；다인소Logistic회귀분석결과현시，년령、고혈압、WBC、RDW급hs-CRP시결혈성뇌졸중환자근기예후불량적독립위험인소。결론결혈성뇌졸중환자RDW명현승고，차RDW시환자근기예후불량적독립위험인소지일。
Objective To investigate the relationship between red blood cell distribution width( RDW) and short-term prognosis of ischemic stroke patients. Methods From May 2012 to May 2014,92 ischemic stroke patients were selected as case group in the Work's Hospital of Daye Iron Mines of Wuhan Iron and Xteel Group,and they were divided into subgroups A (without recurrence of cerebral infarction or death)and B(with recurrence of cerebral infarction or death),according to the prognosis within 90 days;a total of 73 healthy cases were selected as control group at the same time. General information,blood routine examination and whole biochemistry index within 24 hours after admission were retrospectively analyzed,and risk factors of short - term poor prognosis were analyzed by multiple Logistic regression analysis. Results Age, BMI, incidence of hypertension and diabetes,WBC,RDW,blood urea nitrogen,fasting blood glucose,TC,TG and hs -CRP of case group were higher than those of control group(P﹤0. 05);age,incidence of hypertension and diabetes,WBC,RDW,fasting blood glucose and hs-CRP of A group were lower than those of B group ( P ﹤0. 05 );multiple Logistic regression analysis showed that,age,hypertension,WBC,RDW and hs-CRP were risk factors of short-term poor prognosis of ischemic stroke patients (P﹤0. 05). Conclusion RDW of ischemic stroke patients is higher,and it is an independent risk factor of short-term poor prognosis.
