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目的:探讨老年患者血浆同型半胱氨酸(Hcy)水平与发生脑梗死的相关性。方法:选择神经内科门诊就诊且资料完整的老年患者265例,均随访1年,观察发生新近脑梗死者与未发生新近脑梗死者血浆Hcy水平的差异。结果:在1年随访过程中,共发生新近脑梗死80例,Hcy水平为(19.43±6.71)μmol/L;未发生新近脑梗死185例,Hcy水平为(15.29±4.96)μmol/L;两组Hcy水平比较,差异显著(P<0.05)。结论:Hcy水平升高是老年患者发生脑梗死的危险因素之一。
Objective: To investigate the relationship between plasma homocysteine (Hcy) levels and cerebral infarction in elderly patients. Methods: A total of 265 senile patients with neurosurgery outpatients and complete data were followed up for one year. The differences of plasma Hcy levels between patients with and without recent cerebral infarction were observed. Results: During the one-year follow-up, there were 80 cases of recent cerebral infarction with Hcy level of (19.43 ± 6.71) μmol / L; 185 cases of no recent cerebral infarction and Hcy level of (15.29 ± 4.96) μmol / L; Group Hcy levels were significantly different (P <0.05). Conclusion: Hcy level is one of the risk factors of cerebral infarction in elderly patients.