基于TOAST分型急性脑梗死血hcy、Glu、血脂谱分析

Analysis of blood Hcy,Glu and blood lipid spectrum in acute cerebral infarction based on TOAST classification

目的探讨急性脑梗死患者经TOAST分型后血脂谱的临床意义。方法回顾性的调查我院神经内科急性脑梗死的入院患者305例,按TOAST病因分型标准进行分类,对数据进行统计学分析。结果经过TOAST分型,SAA患者148例(48.5%),占比最高。各组间血Hcy无统计学意义(P>0.05)、血脂亚型(CHOL、TG、LDLC)等在各亚型中的差异,血TG差异无统计学意义(P>0.05)和血CHOL差异无统计学意义(P>0.05),血LDLC的差别具有统计学意义(P<0.05),经两两比较,CE与SOE、LAA与SOE、SAA与SOE之间的差别有统计学意义。结论以小动脉闭塞型卒中患者占比最多,各亚型在血LDLC因素方面,经两两比较,CE与SOE、LAA与SOE、SAA与SOE之间的差别有统计学意义。

Objective To investigate the clinical significance of serum lipid profile in patients with acute cerebral in-farction after TOAST classification.Methods 305 hospitalized patients with acute cerebral infarction in neurology de-partment of our hospital were retrospectively investigated,classified according to TOAST classification criteria,and an-alyzed statistically.Results After TOAST typing,there were 148 cases （48.5%）of SAA patients,accounting for the highest proportion.Each group of blood Hcy was not statistically significant （P 〉0.05）,blood lipids （CHOL,TG sub-type,LDLC）differences in the subtypes,there was no significant difference of blood TG （P 〉0.05）and no significant difference of blood CHOL （P 〉0.05）,statistically significant difference of serum LDLC （P 〈0.05）,by 22 and there was a significant difference between CE and SOE,LAA and SOE,SAA and SOE difference.Conclusion Small artery occlusion stroke patients were the most,each two groups were compared in blood LDLC,it was statistically significant between CE and SOE,LAA and SOE,SAA and SOE difference.