尿常规检查在诊断心源性脑梗死中的应用价值  

Utility of Urinalysis in Discriminating Cardioembolic Stroke

作　　者：程建华[1] 黄一睿 

机构地区：[1]温州医学院附属第一医院脑血管科,浙江省温州市325000 [2]温州市中西医结合医院检验科

出　　处：《中国全科医学》2011年第23期2593-2594,共2页Chinese General Practice

基　　金：温州科技局项目(Y20090140)

摘　　要：目的探讨尿常规检查在诊断心源性脑梗死中的应用价值。方法连续收集符合标准的脑梗死患者,根据TOAST标准分为心源性脑梗死(78例)和非心源性脑梗死(149例)两组。同时收集患者入院后24 h内的尿常规及血肌酐检测结果,根据尿常规中白细胞>14.5个/μl,红细胞>41.7个/μl,同时血肌酐>95.5μmol/L这个标准,将患者分为可能心源性和可能非心源性脑梗死。结果两组患者在尿白细胞、红细胞及血肌酐方面差异有统计学意义(P<0.01)。尿常规预测心源性脑梗死的敏感度为65.5%,特异度为70.8%。结论尿常规在诊断心源性脑梗死方面有一定的临床参考价值。Objective To study the utility of urinalysis in discriminating cardioembolic stroke.Methods At the base of TOAST,patients were divided into the cardioembolic stroke（78 cases） and the no-cardioembolic stroke（149 cases）.Then,according to weather WBC14.5/μl,RBC41.7/μl in the urinalysis,and creatinine 95.5 μmol/L in the serum,each groups was divided into possible cardioembolic stroke or possible no-cardioembolic stroke.Results There were differences between these two groups in WBC,RBC of the urinalysis and in creatinine of the serum.and the sensitivity of urinalysis was 65.5%,and the specificity was 70.8% in that predicting cardioembolic stroke.Conclusion There was some value of urinalysis in discriminating cardioembolic stroke.

关 键 词：尿液分析 心源性脑梗死 诊断 

分 类 号：R743.33[医药卫生—神经病学与精神病学]