脑出血急性期生化指标检测对患者预后价值探讨.docVIP

脑出血急性期生化指标检测对患者预后价值探讨 　　[摘要] 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（P0.05）。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。 　　[关键词] 生化指标；急性期；脑出血；预后 　　[中图分类号] R51 [文献标识码] A [文章编号] 1674-0742（2015）08（c）-0087-02 　　Value of Biochemical Indicator Detection for Prognosis of Patients with Acute Cerebral Hemorrhage 　　BAI Yun-jiang 　　Department of Neurology， Peoples Hospital of Zhenlai County， Baicheng， Jilin Province， 137300 China 　　[Abstract] 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， P0.05. 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. 　　[Key words] Biochemical indicators； Acute stage； Cerebral hemorrhage； Prognosis 　　中老年患者是急性脑出血（ICH）的高发人群，老龄化趋势的不断发展，导致ICH发病率明显升高。ICH具有较高的致残率和致死率，严重威胁患者生活质量和生命安全。所以，早期