CysC hs-CRP Hcy D-D联合检测在急性脑梗死诊断中的价值  

The application of combination detection of CysC,hs-CRP,Hcy,D-D in the diagnosis of acute cerebral infarction

作　　者：高娅[1] 王婷[2] GAO Ya;WANG Ting(Medical Laboratory,People＇s Hospital of Song County,Luoyang471400, China;Medical Laboratory,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014 ,China)

机构地区：[1]嵩县人民医院检验科,河南嵩县471400 [2]郑州大学第二附属医院检验科,河南郑州450014

出　　处：《中国实用神经疾病杂志》2018年第10期1114-1118,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨急性脑梗死(ACI)诊断中血清胱抑素C、同型半胱氨酸、超敏C反应蛋白和血浆D-二聚体的检测价值。方法选取嵩县人民医院2015-03—2017-04收治的90例急性脑梗死患者进行研究,回顾性分析患者的临床资料。结果 (1)实验组hs-CRP、CysC、Hcy、D-D显著高于对照组(P<0.05)。(2)大面积梗死患者的各项指标显著高于小面积与中等面积脑梗死患者(P<0.05)。结论通过观察患者D-D、CysC、Hcy、hs-CRP指标变化情况,有利于对急性脑梗死患者病情诊断提供可靠依据,值得临床推广。Objective To explore the value of serum cystatin C,homocysteine,high sensitivity C-reactive protein and plasma D-dimer in the diagnosis of Acute Cerebral Infarction（ACI）.Methods 90 patients admitted in our hospital with acute cerebral infarction from March 2015 to Apri l2017 were selected as the object of study and their clinical data were analyzed retrospectively. Results （1）The levels of hs-CRP,CysC,Hcy and D-D from the experimental group were significantly higher than those of the control group（P 〈0.05）.（2）The above indexes of patients with large area infarction were significantly higher than those with small area and medium area infarction（P 〈0.05）.Conclusion Observing the changes of D-D,CysC,Hcy and hs-CRP in patients is helpful to provide a reliable basis for the diagnosis of acute cerebral infarction and worthy of clinical popularization.

关 键 词：急性脑梗死 胱抑素C 超敏C反应蛋白 同型半胱氨酸 D二聚体 诊断 

分 类 号：R743.33[医药卫生—神经病学与精神病学]