本文選題：C-反應(yīng)蛋白　切入點：血糖　出處：《世界最新醫(yī)學(xué)信息文摘》2016年64期 　論文類型：期刊論文

【摘要】：目的探析C-反應(yīng)蛋白、血糖和白細胞聯(lián)合Hemphill評分表用于腦出血患者預(yù)后的評估價值。方法隨機選擇我院在2014年1月至2015年9月診治的100例原發(fā)性腦出血患者,收集患者的一般資料、血腫位置、手術(shù)治療與否、腦室出血、30d死亡率以及GCS等。結(jié)果隨著Hemphill評分的增加,GCS評分反而降低,存在負相關(guān)性(P0.05)。隨著Hemphill評分的增加,IVH(腦室出血)發(fā)生率增加,存在正相關(guān)性(P0.05)。患者的死亡率與Hemphill評分存在正相關(guān)關(guān)系,分?jǐn)?shù)越高,死亡率就越高。100例患者中,17例患者死亡,死亡率為17%。死亡患者的CRP、WBC以及血糖濃度均與未死亡患者存在較大差異性(P0.05)。結(jié)論 C-反應(yīng)蛋白、血糖和白細胞聯(lián)合Hemphill評分表用于腦出血患者預(yù)后的評估價值較為良好,能夠準(zhǔn)確判斷患者的腦出血病情,保證患者得到有效治療。
[Abstract]:Objective to evaluate the prognostic value of C-reactive protein, blood glucose and leukocyte combined with Hemphill scale in patients with intracerebral hemorrhage. Methods 100 patients with primary intracerebral hemorrhage were randomly selected from January 2014 to September 2015 in our hospital. The general data of the patients, the location of hematoma, the operative treatment or not, the mortality of ventricular hemorrhage for 30 days and the GCS were collected. Results with the increase of Hemphill score, the GCS score decreased. With the increase of the Hemphill score, there was a positive correlation between the mortality rate and the Hemphill score. The higher the score, the higher the mortality rate. The mortality rate was 17. There were significant differences in CRP WBC and blood glucose concentration between the dead patients and the non-dead patients. Conclusion C- reactive protein, blood glucose and white blood cell combined with Hemphill scale are better in evaluating the prognosis of patients with cerebral hemorrhage. It can accurately judge the patient's condition of intracerebral hemorrhage and ensure that the patient gets effective treatment.
【作者單位】： 貴州省貴陽市第二人民醫(yī)院檢驗科;貴州省貴陽市第二人民醫(yī)院神經(jīng)外科;
【基金】：聯(lián)合生物指標(biāo)和Hemphill評分表對腦出血患者預(yù)后進行評估,項目編號:gzwkj2013-1-109
【分類號】：R743.34;R446.1
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本文編號：1586523