80例脑心综合征的临床分析

Clinical analysis of cerebral-cardiac syndrome in 80 cases

目的:探讨急性脑血管病(ACVD)患者脑心综合征的发生机制及防治措施。方法:对80例ACVD患者起病3天内和60例健康体检者血清AST、LDH、CK、和CK-MB进行检测,同时行心电图检查,并动态观察心肌酶谱。结果:血清AST、LDH、CK、CK-MB水平急性脑血管病组明显高于对照组(P<0.01);ACVD患者心电图改变占38.7%～88.5%。结论:ACVD患者急性期极易产生脑心综合征,只要及时有效地治疗,可以改善ACVD患者的病程。

Objectlve：To investigate the pathogenesis and the neasures of prevention and treatment of cerebral-cardiac syndrome （CCS） of acute cerebral vascular diseases （ACVD）.Methods：AST,LDH ,CK and CK-MB were measured in 80 ACVD patients within 3 days after its onset and 60 healthy controls.ECG and CK-MB changes were observed at the same time, Results：AST, LDH,CK,CK-MB of ACVD group were significantly higher than that of control group （P〈0.01）.38.7%-88.5% of ACVD patients had ECG changes;CK-MB declined gradually as the disease was contrelled.Conclusions：CCS is common in ACVD patients.If preventive and treatment measures are taken properly,The disease can be ameliorated and its mortality rate can be decreased.