急性脑卒中患者血液白细胞分类及神经功能缺损与临床预后的关系

发布时间：2018-01-31 01:37

  本文关键词： 急性脑卒中 白细胞分类 神经功能缺损　出处：《中国老年学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨急性脑卒中患者血液白细胞分类、神经功能缺损与临床预合的关系。方法 90例急性脑卒中患者均检测血液中白细胞分类并采用美国国立卫生院脑卒中量表(NIHSS)评价神经功能,探讨白细胞分类与神经功能及预后的关系。结果死亡和残疾组白细胞计数、中性粒细胞比例、淋巴细胞计数、单核细胞计数、中性粒细胞/淋巴细胞(N/L)比值均高于独立生活组,死亡和残疾组各时间点1、7、14 d NHISS评分均明显低于独立生活组(均P0.05),相关因素分析N/L水平(P=0.02)、NIHSS评分(P=0.015)是脑卒中患者死亡的独立危险因素。结论急性脑卒中患者血液白细胞分类与临床预后密切相关。
[Abstract]:Objective to study the classification of leukocyte in patients with acute stroke. Methods 90 patients with acute stroke were examined for the classification of leukocytes in their blood and the neurological function was evaluated by NIHSS (National Institutes of Health Stroke scale). Results the leukocyte count, neutrophil ratio, lymphocyte count and monocyte count in the dead and disabled groups were studied. The ratio of neutrophil / lymphocyte N / L was higher than that of independent living group. The scores of NHISS were significantly lower than those of the independent living group on the 14th day (P 0.05, P < 0.05). The correlation factor analysis showed that the level of N / L was significantly lower than that of the control group (P < 0.05). NIHSS score (P0.015) is an independent risk factor for death in patients with stroke. Conclusion the classification of leukocyte in patients with acute stroke is closely related to the clinical prognosis.
【作者单位】： 南阳市中心医院神经内科;
【分类号】：R743.3
【正文快照】： 急性脑卒中是临床常见的危急重症,具有较高的病死率。脑梗死的主要发病原因是高血压及动脉粥样硬化[1,2]。脑卒中患者临床预后不同,轻者可完全恢复自主能力,重症可瘫痪甚至死亡[3]。血液中白细胞分类与机体炎症反应密切相关,研究提示白细胞分类与脑卒中患者临床预后密切相关[4，

本文编号：1477816