急性脑梗死的危险因素分析

RESEARCH ON RISK FACTORS OF CEREBRL INFARCTION

目的 研究纤维蛋白原、平均血小板体积、C-反应蛋白、间接胆红素、补体C3、尿酸、总胆固醇、甘油三酯、低密度脂蛋白、D-二聚体与急性脑梗死之间的关系。方法 选取2013年10月至2019年10月在我院神经内科住院的急性脑梗死患者96例为病例组,同期健康体检者60例为对照组。抽血测定纤维蛋白原(FIB)、平均血小板体积(MPV)、C-反应蛋白、间接胆红素(IBIL)、补体C3、尿酸(UA)、总胆固醇(CHOL)、甘油三酯(TG)、低密度脂蛋白(LDL)、D-二聚体。观察两组间结果差异,并进行统计学分析。结果 将上述可能的危险因素采用Logistic回归分析后,其结果显示进入回归模型的变量有4个:吸烟史、糖尿病史、LDL、FIB。结论 吸烟、糖尿病、LDL、FIB是急性脑梗死的独立危险因素。

Objective To study the relationship between fibrinogen,mean platelet volume,C-reactive protein,indirect bilirubin,complement C3,uric acid,total cholesterol,triglycerides,low-density lipoprotein,D-dimer and cerebral infarction.Methods The 96 patients with acute cerebral infarction were selected as the case group,and the 60 healthy people in the same period were selected as the control group.Results After logistic regression analysis of the above possible risk factors,the results showed that there were four variables entering the regression model:smoking history,diabetes history,LDL,FIB.Conclusions Smoking,diabetes,LDL,FIB are independent risk factors of cerebral infarction.