本文選題：急性腦梗死　切入點(diǎn)：營(yíng)養(yǎng)代謝狀況　出處：《西部醫(yī)學(xué)》2016年12期 　論文類型：期刊論文

【摘要】：目的探討營(yíng)養(yǎng)代謝狀況與急性腦梗死患者病情及生存狀況的關(guān)系。方法選取2013年1月~2015年1月我院收治的80例急性腦梗死患者為研究對(duì)象。記錄患者入院第1、7、14天時(shí)的各項(xiàng)營(yíng)養(yǎng)相關(guān)物理指標(biāo)和實(shí)驗(yàn)室指標(biāo),并分析急性腦梗死患者結(jié)局與血生化指標(biāo)檢測(cè)值的關(guān)系。結(jié)果急性腦梗死患者入院第1、7、14d時(shí)的體質(zhì)量、三頭肌皮褶厚度、體質(zhì)指數(shù)(BMI)、上臂圍、上臂肌圍的檢測(cè)值均無顯著變化,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。急性腦梗死患者入院后前白蛋白在第7d顯著低于第1d,但第14d回升;超敏C-反應(yīng)蛋白(hs-CRP)在第7d和第14d均高于第1d;補(bǔ)體C3第7d和第14d均低于第1d,且第14d低于第7d;皮質(zhì)醇在第7d和第14d均高于第1d,差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。改良Rankin分值≤2分的患者各項(xiàng)血生化指標(biāo)檢測(cè)值變化低于改良Rankin分值2分的患者,差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。說明急性腦梗死營(yíng)養(yǎng)代謝紊亂較嚴(yán)重的患者結(jié)局不良。Rankin分值≤2分的患者半年內(nèi)生存率為87.5%(42/48例),改良Rankin分值2分的患者半年內(nèi)生存率為75.0%(24/32例),差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。結(jié)論部分急性腦梗死患者存在嚴(yán)重的營(yíng)養(yǎng)代謝紊亂,營(yíng)養(yǎng)代謝紊亂程度越嚴(yán)重其入院時(shí)病情越嚴(yán)重,生存率越低。
[Abstract]:Objective to investigate the relationship between nutritional metabolism and the condition and survival status of patients with acute cerebral infarction. Methods 80 patients with acute cerebral infarction admitted in our hospital from January 2013 to January 2015 were selected as study subjects. Nutrition-related physical and laboratory indicators, Results there were no significant changes in body mass, triceps skinfold thickness, body mass index (BMI), upper arm circumference, upper arm circumference and arm circumference in patients with acute cerebral infarction. There was no significant difference between the two groups (P 0.05). Prealbumin in patients with acute cerebral infarction was significantly lower on the 7th day than on the 1st day, but increased on the 14th day. Hypersensitive C-reactive protein hs-CRP was higher on the 7th and 14th days than on the 1st day; on the 7th and 14th day of complement C3 was lower than on the 1st day, and on the 14th day was lower than on the 7th day; on the 14th day, the cortisol was higher than on the 1st day, and the difference was statistically significant (P 0.05). The modified Rankin score was significantly higher than that on the seventh day and the 14th day. The changes of serum biochemical indexes in patients with 鈮，

本文編號(hào)：1641936