期刊文献+

急性脑卒中后患者血清前白蛋白和血红蛋白与预后关系研究 被引量:7

Relationships between Serum Prealbumin,Hemoglobin and Prognosis of Acute Stroke
下载PDF
导出
摘要 目的:采用病例对照研究的方法,利用实验室检测前白蛋白、血红蛋白、人体测量学指标,对急性脑卒中患者营养状况做出迅速、准确的判断,同时采用NIHSS、改良Rankin量表的测定来判定与预后的关系。方法:共搜集133例符合入选标准病例,依据营养状况分为营养正常组和营养不良组,入院时及入院后2周完成体重指数(BMI)、三头肌皮褶厚度(TSF)、上臂中点围(MAC)的测量、美国国立卫生院神经功能缺损评分(NIHSS)、改良Rankin量表的评分及采集血液做血清前白蛋白、血红蛋白的测定。结果:卒中后营养不良患者中重度残疾(Rankin评分4~5分)的患者为45.6%,而正常营养状态患者为12.3%;卒中后低前白蛋白血症中重度残疾患者为50.8%,显著高于正常血清前白蛋白患者的8.8%;卒中后低血红蛋白重度残疾患者为33.3%,而正常血红蛋白患者为28.7%。结论:卒中后营养不良、低前白蛋白血症与残障程度有关,低血红蛋白与残障程度无关。 Objective:To determine the nutritional status of patients with acute stroke by the levels of prealbumin,hemoglobin and anthropometric indexes in a case-control study.And to detect the relationships between those biomarkers and prognosis of the disease by NIHSS,as well as modified Rankin Scale Determination.Methods: According to the nutritional status,133 patients with acute stroke were divided into normal nutrition group and malnutrition group.Body mass index(BMI),triceps skinfold thickness(TSF),mid-upper arm circumference(MAC),NIHSS,modified rankin scale score,and the serum levels of prealbumin,hemoglobin were measured on admission and two weeks after admission.Results: After stroke,the severely disabled in malnutrition group and normal nutrition group were 45.6 % and 12.3 %,respectively.The severely disabled in patients with hypoalbuminemia were significantly more than in patients with normal prealbumin level,the severe disability rates in two groups were 50.8 % and 8.8 %,respectively.And the severely disabled in patients with low hemoglobin and patients with normal hemoglobin level were 33.3 % and 28.7 %,respectively.Conclusion: After stroke,malnutrition and hypoalbuminemia in patients are correlated with the degree of disability,while low hemoglobin is not associated with the degree of disability.
出处 《包头医学院学报》 CAS 2011年第2期38-39,43,共3页 Journal of Baotou Medical College
关键词 脑卒中 前白蛋白 血红蛋白 相关研究 Stroke Prealbumin Hemoglobin Association study
  • 引文网络
  • 相关文献

参考文献11

  • 1Bejot Y,Benatru I,Rouaud O,et al.Epidemiology of stroke in Europe:geographic and environmental differences[J].J Neurol Sci,2007,262(1-2):85-88. 被引量:1
  • 2Strazzullo P,Scalfi L,Branea F,et al.Nutrition and prevention of ischemic stroke:present knowledge,limitations and future perspectives[J].Nutr Metab Cardiovasc Dis,2004,14(2):97-114. 被引量:1
  • 3Liu M,Wu B,Wang WZ,et al.Stroke in China:epidemiology,prevention,and management strategies[J].Lancet Neurol,2007,6(5):456-464. 被引量:1
  • 4Yoo SH,Kim JS,Kwon SU,et al.Undernutrition as apredictor of poor clinical outcomes in acute ischemic stroke patients[J].Arch Neurol,2008,65(1):39-43. 被引量:1
  • 5Crary MA,Carnaby-Mann GD,Miller L,et al.Dysphagia and nutritional status at the time of hospital admission for ischemic stroke[J].J Stroke Cerebrovasc Dis,2006,15(4):164-171. 被引量:1
  • 6Perry L,McLaren S.An exploration of nutrition and eating disabilities in relation to quality of life at 6 months post-stroke[J].Health Soc Care Community,2004,12 (4):288-297. 被引量:1
  • 7Finestone HM,Greene-Finestone LS,Wilson ES,et al.Prolonged length of stay and reduced functional improvement rate in malnourished stroke rehabilitation patients[J].Arch Phys Med Rehabil,1996,77(4):340-345. 被引量:1
  • 8FOOD Trial Collaboration.Poor nutritional status on admission predicts poor outcomes after stroke:observational data from the FOOD trial[J].Stroke,2003,34(6):1450-1456. 被引量:1
  • 9Kagansky N,Berner Y,Koren-Morag N,et al.Poor nutritional habits are predictors of poor outcome in very old hospitalized patients[J].Am J Clin Nutr,2005,82(4):784-791. 被引量:1
  • 10李立和(综述),田刚(综述).血清前白蛋白的研究进展[J].国际检验医学杂志,2007,28(3):247-247. 被引量:65

二级参考文献5

共引文献64

同被引文献54

引证文献7

二级引证文献18

;
使用帮助 返回顶部