【摘要】 目的 探讨脑梗死患者血浆C-反应蛋白(CRP)的动态变化与其病情之间的关系。方法 对107例脑梗死患者发病后72h内，第4～7天和第14天的血CRP进行测定，应用美国国立卫生研究院卒中量表(NIHSS)及Barthel指数(BI)记分法测定神经功能缺损评分。结果 脑梗死后72h血CRP浓度即开始升高，1周左右达高峰，至14天时水平接近对照组水平，并发多脏器功能衰竭者CRP水平最高。结论 血浆CRP是判断脑梗死病情轻重和预后的特异性指标，适时终止或减轻炎症反应损害，可以降低脑梗死的死亡率及并发多脏器衰竭的危险。

    【关键词】 脑梗死； 炎症反应； C-反应蛋白

    The dynamic changes and clinical value of the C-reactive protein in cerebral infarction patients

    ZHONG Chang-yang，GAO Hong-xing.Eighth Ward，Hangzhou Hospital of the General Armed Police Corps，Zhejiang 310051，China

    【Abstract】 Objective To investigate the relationship between the concentration of the plasma C-reactive protein(CRP) and the serious of the disease after cerebral infarction(CI).Methods The concentration of CRP in107patients with CI was measured within 72hours，4～7days，and 14days.All patients were scored by CNDF based on deficit in their clinical neurological function.Results The level of CRP was markedly increased after CI.The levels of CRP peaked at 4～7d after CI ......