中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
87-88
,共2页
生化指标%急性期%脑出血%预后
生化指標%急性期%腦齣血%預後
생화지표%급성기%뇌출혈%예후
Biochemical indicators%Acute stage%Cerebral hemorrhage%Prognosis
目的：探讨脑出血急性期生化指标检测对患者预后的价值。方法随机选取2010年8月-2014年10月该院收治的140例脑出血急性期患者作为研究对象，根据预后效果分为A组（n=104,治愈与好转组）和B组（n=36，无效与死亡组），选取同期来该院进行体检的60例健康者作为参照组，3组均接受常规生化指标检测，分析比较检测结果。结果 B组血尿酸、血糖水平明显高于A组和参照组（P<0.05），但HDL-C明显低于其他两组（P<0.05）；A组血糖、血尿、LDL-C水平明显高于参照组（P<0.05）；TC、TG等指标3组对比，差异无统计学意义（P>0.05）。结论高尿酸及高密度脂蛋白胆固醇低脑出血急性期患者转归具有不利影响，LDL-C水平升高有利于患者预后，对生化指标进行检测可对患者出血转归进行准确预测，为临床采取针对性预防措施奠定基础。
目的：探討腦齣血急性期生化指標檢測對患者預後的價值。方法隨機選取2010年8月-2014年10月該院收治的140例腦齣血急性期患者作為研究對象，根據預後效果分為A組（n=104,治愈與好轉組）和B組（n=36，無效與死亡組），選取同期來該院進行體檢的60例健康者作為參照組，3組均接受常規生化指標檢測，分析比較檢測結果。結果 B組血尿痠、血糖水平明顯高于A組和參照組（P<0.05），但HDL-C明顯低于其他兩組（P<0.05）；A組血糖、血尿、LDL-C水平明顯高于參照組（P<0.05）；TC、TG等指標3組對比，差異無統計學意義（P>0.05）。結論高尿痠及高密度脂蛋白膽固醇低腦齣血急性期患者轉歸具有不利影響，LDL-C水平升高有利于患者預後，對生化指標進行檢測可對患者齣血轉歸進行準確預測，為臨床採取針對性預防措施奠定基礎。
목적：탐토뇌출혈급성기생화지표검측대환자예후적개치。방법수궤선취2010년8월-2014년10월해원수치적140례뇌출혈급성기환자작위연구대상，근거예후효과분위A조（n=104,치유여호전조）화B조（n=36，무효여사망조），선취동기래해원진행체검적60례건강자작위삼조조，3조균접수상규생화지표검측，분석비교검측결과。결과 B조혈뇨산、혈당수평명현고우A조화삼조조（P<0.05），단HDL-C명현저우기타량조（P<0.05）；A조혈당、혈뇨、LDL-C수평명현고우삼조조（P<0.05）；TC、TG등지표3조대비，차이무통계학의의（P>0.05）。결론고뇨산급고밀도지단백담고순저뇌출혈급성기환자전귀구유불리영향，LDL-C수평승고유리우환자예후，대생화지표진행검측가대환자출혈전귀진행준학예측，위림상채취침대성예방조시전정기출。
Objective To discuss the value of biochemical indicator detection for prognosis of patients with acute cerebral hemorrhage. Methods 140 patients with acute cerebral hemorrhage admitted to our hospital between August 2010 and October 2014 were assigned to the research object and divided into group A (n=104, cure or improvement group) and group B (n=36, ineffective or death groups) according to prognosis, and 60 healthy patients undergoing physical examination in the same period were assigned to the control group. Biochemical indicator detection was performed in all the three groups and the outcomes were analyzed and compared. Results The blood glucose level and blood uric acid level was significantly higher, but high density lipoprotein-cholesterol (HDL-C) level significantly lower in the group B than in the group A, as well as than in the control group, P<0.05; the levels of blood glucose, hematuria and HDL-C were significantly higher in the group A than in the control group, P<0.05; no statistical differences were found in TC, TG between the three groups, P>0.05. Conclusion High uric acid and HDL-C can adversely affect the outcomes of patients with acute cerebral hemorrhage, but the improvement of LDL-C level is beneficial to their prognosis. Biochemical indicator detection can predicts the bleeding outcome accurately, based on which targeted preventative measures can be taken.
