尿中微量白蛋白和脑梗死患者病情、预后与复发之间的相关性

Exploration of trace albumin in the urine of patients with brain infarction,the correlation between recurrence and prognosis

目的总结脑梗死患者的复发频率、病情状况、预后质量以及尿液内微量白蛋白成分之间的内在联系。方法随机筛选2011年10月—2014年4月间入住本院的脑梗死患者共77例,根据其尿白蛋白指数进行随机分组:常规组(n=40例,尿白蛋白指数正常)、分析组(n=37例,尿液中出现微量白蛋白),对两组入选对象疾病程度、生活能力、病残情况进行评定,同时随访24个月,观察其复发几率。结果两组GCS评定分数、NIHSS评定分数、Barthel指数以及Rankin评定分数差异均有统计学意义(P<0.05),同时分析组复发率高于常规组(P<0.05)。结论对于并发尿中微量白蛋白现象的脑梗死患者,其病情往往十分严重,预后质量普遍偏差,复发率高。

Objective： To summarize the patients with cerebral infarction recurrence frequency,the illness condition and prognosis of the quality and the inner link between albumin in the urine trace components. Methods： The random selection of a total of 77 patients with cerebral infarction in our hospital between October 2011 and May,2014 was made and randomly assigned according to their urinary albumin index： normal group（ n = 40,normal urinary albumin index）,analysis group（ n = 37,presenting the micro albumin in the urine）,degree of 2 set of selected objects disease,life ability and the sick condition were assessed,at the same time follow-up was 24 months,its chance of recurrence was observed. Results：GCS score,NIHSS score,Barthel index and evaluation scores Rankin in the two groups were significantly different,and recurrence risk was higher than that in the normal group（ P〈0. 05）. Conclusion： For cerebral infarction patients with concurrent urine trace albumin,the condition often is very serious,not only the prognosis is bad,and the recurrence rate is very high