脑出血急性期常规生化指标对脑出血预后的临床价值
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【摘要】目的：探讨脑出血急性期常规生化指标水平预测患者预后的临床价值。方法：选取135例脑出血急性期患者，100例治愈和好转为有效组，35治疗无效和死亡为无效组，同时选取本院50例健康体检人群作为对照组，分别测定三组对象的血脂、血尿酸，并进行分析比较。结果：无效组HDL-C较对照组、有效组明显降低，有效组LDL-C较无效组和对照组明显升高，差异均有统计学意义(P<0.05)，三组对象TC及TG无显著差异。无效组UA明显高于有效组和对照组，差异有统计学意义(P<0.05)。结论：高水平HDL-C及高尿酸是引起脑出血急性期患者不良转归的预测因素，而LDL-C水平增高对于脑出血患者的预后可能有良好的促进作用，检测这些生化指标对预测患者出血转归有重要临床价值，同时可指导临床有针对性地提供预防措施，以改善患者预后。
【关键词】急性脑出血；尿酸；血脂；预后
Acute Cerebral Hemorrhage of Conventional Biochemical Index to the Clinical Value of Cerebral Hemorrhage Prognosis/WANG Ya-bin，PENG Fang.//Medical Innovation of China，2012，9(16)：024-025
【Abstract】Objective：To study the acute phase conventional biochemical index intracerebral hemorrhage in the prediction of the prognosis of patients with the level of clinical value.Methods：The patients with acute period 135 cases of cerebral hemorrhage，100 cases were cured and good to effective group，35 cases treated and death as invalid group， and select 50 cases the healthy check-up our crowd as control group， three groups object were determined the blood fat and blood uric acid， and carries on the analysis comparison.Results：Invalid group HDL-C than control group， effective group reduced significantly， and effective group LDL-C was effective group and control group increased significantly ......
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