血清hs-CRP测定对糖尿病并发脑梗死患者的临床意义

目的探讨糖尿病并发急性脑梗死患者血清hs-CRP水平与病情及预后的关系。方法测定88例糖尿病并发急性脑梗死患者血清hs-CRP含量，分析与病情及预后关系。结果糖尿病并发急性脑梗死患者血清hs—CRP水平明显高于糖尿病并发脑腔隙性脑梗死患者（P〈0．01）；脑梗死重型组血清hs-CRP水平高于中型、轻型组（P〈0．05）；随防1年，血清hs-CRP水平高者易复发。结论糖尿病并发急性脑梗死患者血清hs—CRP水平升高，提示患者病情重、预后差、易复发。早期测定血清hs-CRP水平有助于评估糖尿病并发急性脑梗死的病情及预后。

Objective To the correlation of the serum hs - CRP level, the clinical situation and the prognosis of the patient with diabetes complicated with acute cerebral infarction. Methods 88 patients with diabetes complicated with acute cerebral infarction were measure of their serum hs - CRP level, the correlation to the clinical situation and prognosis was ananlyzed. Results The serum hs - CRP level of the patient wiih diabetes complicated with acute cerebral infarction was significantly higher than that of the patient with diabetes complicated with cerebral lacunar infarction （ P 〈 0. 01 ）, the serum hs - CRP level was higher in the severe infarction than in the medium and mild group （P 〈 0. 05 ）, the patients were followed up for one year and those with high level of serum hs - CRP was more easy for relatpsing. Conclusions The serum hs - CRP level in the patient with diabetes complicated with acute cerebral infarction is elevated, which indicates a more severe clinical situation and poor prognosis. The early measurement of serum hs - CRP helps for the evaluation of diabetes complicated with acute cerebral infarction and its prognosis.