摘要
目的:探究急性脑卒中并发全身炎性反应综合征患者凝血功能的变化,为临床医学提供指导意义。方法:收治急性脑卒中并发全身炎性反应综合征患者146例,分析每1例相关临床资料,按照患者病情严重程度进行分为对照组(病情一般)和观察组(病情严重),每组73例,分析不同病情下两组凝血功能情况,具体比较数据包括:血测定凝血酶原时间、凝血酶时间以及血小板计数等涉及到与凝血功能有关的实验室指标。结果:观察组血测定凝血酶原时间、凝血酶时间等实验室指标比对照组高;对照组血小板计数检测高于观察组,相关数据具有统计学意义(P<0.05)。结论:在不同病情严重程度下,急性脑卒中患者全身炎性反应综合征凝血功能的变化不同,及时检查出缺血性脑卒中凝血功能障碍,有助于提高治愈率,降低疾病给患者带来的痛苦。
Objective:To investigate coagulation change in acute stroke patients with systemic inflammatory response syndrome,and provide guidance for the clinical significance.Method:146 cases acute stroke patients with systemic inflammatory response syndrome were selected from our hospital from May 2009 to May 2012,which's clinical data was analyzed.According to the severity of the patient's condition,146 cases patients were divied into two groups,one was control group which were general illness,one was observation group which were serious illness,each group had 73 cases,and then analyzed coagulation in two groups' patients,specifically including comparative data:Blood prothrombin time,prothrombin time,platelet count,and others that related to the coagulation-related laboratory parameters.Results:The observation group was higher than control group in blood prothrombintime,thrombin time and other laboratory indicators.Control group was higher than observation group in platelet count detection. These data were statistically significant(P<0.05).Conclusion:Coagulation change in stroke patients with systemic inflammatory response syndrome is different in different severity of the disease.It is helpful to improve the cure rate and reduce the pain caused by diseases that Coagulopathy of ischemic stroke is detected timely.