老年急性脑卒中血清胆红素测定的临床意义

A study on serum bilirubin in elderly stroke and its clinical significance

目的 :研究老年急性脑卒中时血清胆红素变化的临床意义。方法 :检测正常体检的老年人 78例、脑出血 5 6例及脑梗死 44例患者的血清总胆红素、直接胆红素及血清胆碱酯酶。结果 :与正常体检的老年人相比 ,脑出血组血清胆红素、直接胆红素均显著增高 (P<0 .0 0 1及 P<0 .0 1 ) ,而脑梗死组均无变化 (P>0 .0 5 ) ;血清胆碱酯酶在脑出血和脑梗死组均下降 (P<0 .0 1、P<0 .0 5 )。结论 :老年急性脑卒中时血清总胆红素。

Objective:To observe the varies of serum bilirubin in stroke and its clinical significance.Method:Serum totalbilirubin.direct-bilirubin and cholineslerase were measured in 78 healthy control elderly men.56 patients with cerebral hemorrhage and 44 patients with cerebral infarction.Result:In case of cerebral hemorrhage,serum total bilirubin and direct bilirubin were much higher than of healthy control elderly men (P<0.001,P<0.01),but in cerebral infarction there was no vary(P>0.05). Serum choliueslerase was decreased in cerebral hemorrhage and cerebral infarction(P<0.01,P<0.05).Conclusion:The increation of serum total bilirubin,direct bilirubin and the decreation of serum cholineslerase maybe have an association with light liver-function damage in stroke.