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糖化血红蛋白在脑血管疾病中临床应用的探讨
引用本文:李友建,顾桂兰,王志勇,汪峰,张超. 糖化血红蛋白在脑血管疾病中临床应用的探讨[J]. 现代检验医学杂志, 2014, 0(2): 146-148
作者姓名:李友建  顾桂兰  王志勇  汪峰  张超
作者单位:泰兴市人民医院检验科,江苏泰兴225400
摘    要:
目的 探讨糖化血红蛋白(HbA1c)在脑血管疾病中的临床应用.方法 收集2012年1月1日-5月31日住院病人的HbA1c资料358例,剔除已明确诊断为糖尿病患者的资料,将不同脑血管疾病的HbA1c水平与HbA1c 5.7%水平进行统计分析,评估脑血管疾病发生糖尿病的风险.结果 该研究中不同脑血管疾病的HbA1c水平与HbA1c 5.7%水平的单样本t检验分析,脑动脉供血不足、短暂性脑缺血发作、脑出血、眩晕综合征、椎-基底动脉供血不足和脑梗塞(t=2.98-6.92,P值均<0.01),差异有统计学意义.结论 脑血管疾病的HbA1c水平升高,灵活掌握HbA1c的应用,对医师在临床诊治上采取全面、有效的治疗措施具有实际的指导意义.

关 键 词:糖化血红蛋白  脑血管疾病  糖尿病

Clinical Application of Glycosylated Hemoglobin in the Cerebrovascular Disease
LI You-jian,GU Gui-lan,WANG Zhi-yong,WANG Feng,ZHANG Chao. Clinical Application of Glycosylated Hemoglobin in the Cerebrovascular Disease[J]. Journal of Modern Laboratory Medicine, 2014, 0(2): 146-148
Authors:LI You-jian  GU Gui-lan  WANG Zhi-yong  WANG Feng  ZHANG Chao
Affiliation:(Department of Clinical Laboratory, Taixing City People ' s Hospital, Jiangsu Taixing 225400, China)
Abstract:
Objective To explore the clinical application of glycosylated hemoglobin in the cerebrovascular disease. Methods On January 1, 2012 to May 31,2012 HBAlc data of 358 cases of inpatients were collected,data of clearly diagnosed as diabetes were eliminated. To analyze between the HbAle levels of different cerebrovaseular diseases and 5.7 % of HbA1 c levels, the risk of diabetes occured in the cerebrovascular disease to assess. Results The HbAle levels of different eerebrovaseular diseases and 5.7% of HbAlc levels were analyzed by one-sample t test in the study, cerebral arterial insufficiency,transient ischernia attach,cerebral hemorrhage, vertigo syndrome, vertebral-basilar artery insufficiency, brain infarction (t = 2.98 6.92 ,P〈0.01 ) ,the difference was significant. Conclusion The HbAlc levels were elevated in the eerebrovascular disease. The application of HbAle can help diagnosis and treatment in clinical practice for physicians to take a comprehensive and ef fective treatment measures have practical guiding significance.
Keywords:glycosvlated hemoglobin  cerebrovascular disease  diabetes
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