不同严重程度脑梗死患者的心肌损伤程度及预后

发布时间：2018-06-06 04:28

  本文选题：脑梗死 + 心肌损伤　； 参考：《中国老年学杂志》2017年15期

【摘要】：目的探讨不同严重程度急性脑梗死患者心肌损伤程度,并分析其预后。方法 113例脑梗死患者根据NIHSS评分分为轻度脑梗死组(A组,n=24),中度脑梗死组(B组,n=55)和重度脑梗死组(C组,n=34)。对3组患者一般资料,肌钙蛋白Ⅰ、肌红蛋白、肌酸激酶同工酶(CKMB)、心电图以及预后情况进行分析。结果 A、B、C 3组患者高血压、糖尿病、高胆固醇史等基础资料差异无统计学意义(P0.05)。3组患者肌钙蛋白Ⅰ、肌红蛋白、CK-MB水平差异显著(P0.05),均表现为C组最高、A组最低。3组患者心电图异常发生率差异显著(P0.05),C组发生率最高,B组次之,A组最低。A、B、C 3组患者死亡率分别为4.17%、5.45%、17.65%,差异有统计学意义(χ~2=4.700,P0.05)。结论重度脑梗死患者多存在肌钙蛋白Ⅰ、肌红蛋白以及CK-MB水平升高以及心电图异常,预后不良,死亡率较高。
[Abstract]:Objective To investigate the degree of myocardial injury in patients with acute cerebral infarction and analyze its prognosis . Methods 113 patients with cerebral infarction were divided into mild cerebral infarction group ( group A , n = 24 ) , moderate cerebral infarction group ( group B , n = 55 ) and severe cerebral infarction group ( group C , n = 34 ) according to NIHSS score . Results There was no significant difference in the levels of troponin I , troponin I , CK - MB in group A , group B and C ( P0.05 ) . The rates of ECG abnormalities in group A , B and C were significantly different ( P0.05 ) . Conclusion There is a high level of troponin I , Myoglobin and CK - MB in patients with severe cerebral infarction , abnormal ECG , poor prognosis and high mortality .
【作者单位】： 淄博市中心医院重症医学科;潍坊市脑科医院神经内一科;
【分类号】：R743.33
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本文编号：1985091