探讨尿常规与血肌酐检查在诊断心源性脑梗死中的应用

目的：探讨尿常规检查在诊断心源性脑梗死疾病中应用价值，为临床提高此类患者诊断正确率提供可靠依据，保障患者生活质量与生命安全。方法指定同一名具有专业知识及丰富经验的临床检验人员对研究组心源性脑梗死患者与对照组非心源性脑梗死患者进行尿常规临床检验，检验内容包括尿液中白细胞计数、红细胞计数、尿比重、尿蛋白水平、血肌酐水平等。观察并记录两组患者尿常规检测结果，给予统计学分析，得出结论。结果研究组患者尿常规检测结果中白细胞计数（5．54±2．48）×10^9/L、红细胞计数（61．53±25．34）×10^12/L以及血肌酐水平（114．36±24．87）μmol/L均明显高于对照组非心源性脑梗死患者的（3．29±1．71）×10^9/L、（7．92±3．50）×10^12/L、（89．67±16．54）μmol/L，差异有统计学意义（P＜0．05）；研究组患者尿液中尿比重1．01±0．30以及24h尿蛋白水平（0．06±0．01）g/L与对照组患者的（1．01±0．23）、（0．05±0．01）g/L比较差异无统计学意义（P＞0．05）。结论应用尿常规检测可准确区分心源性脑梗死及非心源性脑梗死疾病，且尿常规检测具有取材方便，可快速获得结果，操作简单，价格低廉等优点，利于患者接受检验，值得临床推广应用。

Application of urinalysis and detection of blood creatinine level in the diagnosis of cardiogenic cerebral infarction

Objective To investigate the diagnostic value of routine urinary analysis in cardiogenic cerebral in-farction（CI） .Methods Routine urinary analysis ,including detection of white blood cell counts （WBC） ,red blood cell counts（RBC） ,specific gravity ,protein level ,and detection of blood creatinine were performed in patients with cardio-genic CI（research group） and patients with non-cardiogenic CI（control group） .All data were statisitically analyzed . Results Levels of urinary WBC ,RBC and blood creatinie in research group were （5 .54 ± 2 .48） × 10^9/L ,（61 .53 ± 25 .34） × 10^12/L ,and （114 .36 ± 24 .87）μmol/L ,which were significantly higher than the （3 .29 ± 1 .71） × 10^9/L , （7 .92 ± 3 .50）× 10^12/L and （89 .67 ± 16 .54）μmol/L（P〈0 .05） .Urine specific gravity and 24 h urinary protein were 1 .01 ± 0 .30 and （0 .06 ± 0 .01）g/L in research group ,which were not significantly different with the 1 .01 ± 0 .23 and （0 .05 ± 0 .01）g/L in control group（P〉0 .05） .Conclusion Routine urinary analysis could be used for the differential diagnosis of cardiogenic and non-cardiogenic CI ,which might be worthy of clinical application .