血沉与中风早期预后  

Erythrocyte Sedimentation Rate in Early Prediction of Stroke Severity

作　　者：冯海燕[1] 孙荣华[1] 薛银玲[1] 吕慧清 

机构地区：[1]青岛市第二人民医院,266033

出　　处：《青岛医药卫生》1997年第5期3-4,共2页Qingdao Medical Journal

摘　　要：对187例脑梗塞病人可能影响早期预后的诸因素进行前瞻性研究,以明确中风急性期机体反应程度是否与早期预后有关。结果发现预后良好与预后差两组患者下列变量在统计学上有显著性差异:年龄>65岁,入院时评分>29分,临床症状无好转,梗塞面积>9cm^3,并发感染,空腹血糖>11.3mmol/L和血沉增快。进行逐步逻辑回归分析后,入院时评分,病情进展情况,梗塞体积及血沉仍有统计学意义,其灵敏性与特异性分别为89.91％和85.71％。We evaluate agroups of 187 ischemic stroke patients at entry. All patients had cranial CT scaning, routine blood test,blood biochemistry test and erythrocyte sedimentation rate(ESR) test within 72 hours from clinical onset. At discharge,functional outcome was graded again. Using univarible analysis and stepwise logistic regression analysis,we found score on admission,infarct volume, mode of clinical presentation and ESR remaining in the predictive model of stroke outcome. We conclude that infarct size, clinical severity on admission,clinical evolution during the early stage and ESR are independant predictors of short-term stroke outcome.

关 键 词：脑血管病 红细胞 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]