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目的 评估脑梗死急性期血清铁蛋白与患者病损的程度及恢复情况的关系。方法 用化学发光法检测 4 8例脑梗死患者急性期血清铁蛋白 ,行中国神经功能缺损程度 (CSS)评分 (入院及住院 3周时 ) ,患者恢复情况以CSS减分值表示。结果 入院时CSS≥ 15分组血清铁蛋白水平明显高于CSS <15分组 (P<0 .0 1) ,两者呈正相关 (r =13.4 7,P <0 .0 1)。入院 3周时CSS减分值少组血清铁蛋白水平高 ,且在CSS≥15分组中差异有显著性 (P <0 .0 5 )。结论 脑梗死患者急性期血清铁蛋白的含量与脑梗死病损的严重程度及恢复密切相关
Objective To evaluate the relationship between serum ferritin and the severity of patients with acute cerebral infarction and its recovery. Methods The levels of serum ferritin in 48 acute cerebral infarction patients were detected by chemiluminescence method. The CSS scores of Chinese patients with neurological deficit (admission and hospitalization for 3 weeks) were calculated. Results The levels of serum ferritin in CSS≥15 group were significantly higher than those in CSS group <15 (P <0.01) at admission. There was a positive correlation between them (r = 13.47, P <0.01). Serum ferritin levels were high in CSS reduction group at 3 weeks after admission, and there was significant difference in CSS≥15 group (P <0.05). Conclusion Serum ferritin levels in patients with acute cerebral infarction are closely related to the severity and recovery of the infarction