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目的研究血尿酸水平对急性脑梗死事件预测的临床意义。方法对140例脑梗死患者(病例组)与130例健康体检者(对照组)采用酶法进行血尿酸、空腹血糖、血脂等测定,比较各组尿酸水平。结果脑梗死组和对照组空腹血尿酸升高分别为69例和30例,占49.29和23.08%,血浆尿酸浓度分别为(413.5士87.9)umol/L和(349.8士81.8)umol/L,差异有统计学意义。脑梗死组尿酸结果明显高于对照组,两组比较有显著性差异(P<0.01)。血尿酸水平与脑梗死患者病情及预后有平行关系,即病情重、预后差者,血尿酸水平升高者所占比例高。结论高尿酸是急性脑梗死的一个独立危险因素。
Objective To study the clinical significance of serum uric acid level in predicting acute cerebral infarction. Methods Enzymatic determination of serum uric acid, fasting blood glucose and blood lipid in 140 patients with cerebral infarction (case group) and 130 healthy subjects (control group) was performed. The levels of uric acid in each group were compared. Results The levels of fasting serum uric acid in cerebral infarction group and control group were 69 cases and 30 cases, accounting for 49.29% and 23.08% respectively. The levels of uric acid in plasma and plasma were (413.5 ± 87.9) umol / L and (349.8 ± 81.8) umol / L, respectively There is statistical significance. Uric acid in cerebral infarction group was significantly higher than that in control group, there was significant difference between the two groups (P <0.01). Serum uric acid levels and the prognosis of patients with cerebral infarction have a parallel relationship, that is, serious illness, poor prognosis, elevated levels of serum uric acid high proportion. Conclusion Hyperuricemia is an independent risk factor for acute cerebral infarction.