CAJ | 학술논문

目的：分析脑梗死急性期血胆红素、血尿酸与颈动脉粥样硬化之间的关系。方法选择我院确诊的156例急性脑梗死患者，按颈动脉彩超检查结果，将患者分为102例颈动脉粥样硬化与54例非颈动脉粥样硬化；将颈动脉粥样硬化组患者依据静脉狭窄程度分为54例轻度狭窄、28例中度狭窄、20例重度狭窄，对比患者间血清学指标。结果颈动脉粥样硬化组患者的各项血清学指标均优于非颈动脉粥样硬化组，P＜0.05，差异具有统计学意义；总胆红素、间接胆红素、直接胆红素水平随狭窄严重程度升高而下降，呈负相关；血尿酸水平随狭窄严重程度升高而升高，呈正相关。结论脑梗死急性期血胆红素、血尿酸与颈动脉粥样硬化之间呈密切相关性。
목적：분석뇌경사급성기혈담홍소、혈뇨산여경동맥죽양경화지간적관계。방법선택아원학진적156례급성뇌경사환자，안경동맥채초검사결과，장환자분위102례경동맥죽양경화여54례비경동맥죽양경화；장경동맥죽양경화조환자의거정맥협착정도분위54례경도협착、28례중도협착、20례중도협착，대비환자간혈청학지표。결과경동맥죽양경화조환자적각항혈청학지표균우우비경동맥죽양경화조，P＜0.05，차이구유통계학의의；총담홍소、간접담홍소、직접담홍소수평수협착엄중정도승고이하강，정부상관；혈뇨산수평수협착엄중정도승고이승고，정정상관。결론뇌경사급성기혈담홍소、혈뇨산여경동맥죽양경화지간정밀절상관성。
Objective To study the relationship between acute cerebral infarction serum bilirubin, serum uric acid and carotid atherosclerosis. MethodsAccording to the results of carotid ultrasonography, selected 156 cases of acute cerebral infarction patients diagnosed in our hospital were divided into two groups. 102 cases of patients were carotid atherosclerosis and 54 cases of patients were non-carotid atherosclerosis, carotid atherosclerosis patients based on vein stenosis were divided into 54 cases of mild stenosis, moderate stenosis 28 cases, 20 cases of severe stenosis, Compared between serum markers.Results The carotid atherosclerosis patients of the serological markers were better than non-carotid atherosclerosis group,P<0.05, had difference statistically significance. Total bilirubin, indirect bilirubin, direct bilirubin levels increased with the severity of stenosis decreased, negatively correlated, serum uric acid levels increased with the severity of stenosis increased, positively correlated. Conclusion Acute cerebral infarction serum bilirubin, serum uric acid and carotid atherosclerosis is close correlation between sclerosis.