【摘要】 目的 探讨血清白蛋白降低对脑出血患者预后的影响。方法 用病例-对照研究的方法分析比较89例血清白蛋白(serum albumin,SAL)降低(SAL<40g/L)脑出血患者及257例血清白蛋白正常(SAL≥40g/L)脑出血患者日常活动能力(Barthel指数)、病死率及并发症的发生率。结果 入院时两组患者Barthel指数比较差异无显著性(P>0.05)。1个月及3个月低血清白蛋白组患者Barthel指数与正常血清白蛋白组患者比较差异有显著性(P<0.05)。血清白蛋白降低与脑出血患者的病死率(OR＝3.01，95%CI 1.69～5.26)及肺部感染率(OR＝3.17，95%CI 1.85～5.42)密切相关。结论 血清白蛋白降低与脑出血患者日常活动能力障碍、病死率及肺部感染率密切相关。营养支持治疗是脑出血综合治疗的重要方法。

    关键词 脑出血 血清白蛋白 预后

    Prognosis of cerebral hemorrhage patient with low serum albumin

    Wang Jianlin,Jia Fan,Lei Jin,et al.

    Department of Neurology,The Second People’s Hospital of Yunnan,Kunming 650021.

    【Abstract】 Objective To explore the influence for the prognosis of cerebral hemorrhage patient with low serum albumin.Methods A case-contral analysis was used.Daily action ability(Barthel index),the death rate and the occurrence rate of complication were compared between 89 cerebral hemorrhage patients with low serum albumin (SAL<40g/L) and 257 cerebral hemorrhage patients with normal serum albumin (SAL≥40g/L).Results When being hospitalized,compared low serum albumin group patients with normal serum albumin group patients,Barthel index had no significant difference (P>0.05).In 1 month and 3 months,Barthel index had significant difference (P<0.05)between groups.Low serum albumin was related closely with the death rate(OR＝3.01 ......