摘要
贫血和高血红蛋白血症并非脑卒中常见的高危因素,血红蛋白浓度与脑卒中的关系目前存在争议.通过检索文献,分别归纳分析了在脑梗死和颅内出血患者中,高、低血红蛋白浓度对脑卒中发生风险、死亡风险和不良功能预后风险的影响,发现血红蛋白浓度与脑梗死发生风险、脑梗死死亡风险和颅内出血死亡风险之间存在"U"形曲线关系,但最优血红蛋白浓度并不确定.
Anemia and hyperhemoglobin are not common stroke risk factors,and the association between hemoglobin concentration and stroke remains inconclusive.Through searching the literature,the impact of hypo-and hyper-hemoglobin on the risks of incident stroke,mortality,and poor functional prognosis was analyzed.The review revealed a U-shaped relationship between hemoglobin and the risks of incidental ischemic stroke,and mortality of ischemic stroke and intracranial hemorrhage,separately.However,the optimal hemoglobin concentration was undetermined.
作者
李胜德
彭斌
Li Shengde;Peng Bin(Department of Neurology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Neurology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华神经科杂志》
CAS
CSCD
北大核心
2019年第12期1068-1072,共5页
Chinese Journal of Neurology
关键词
卒中
脑缺血
颅内出血
血红蛋白类
贫血
预后
Stroke
Brain ischemia
Intracranial hemorrhage
Hemoglobins
Anemia
Prognosis
