脑梗死急性期C反应蛋白水平对患者预后的预测价值

目的：研究脑梗死急性期C反应蛋白（CRP）水平对脑梗死预后的预测价值。方法：收集我院急性脑梗死患者217例,分为C反应蛋白正常组（CRP≤3 mg/L,115例）和C反应蛋白增高组（CRP〉3 mg/L,102例）,对患者随访1年,计算危险比（risk ratio,RR）以比较预后。结果：脑梗死患者CRP增高组预后明显较差。3、6、12个月后的RR死亡分别为3.76、2.58和2.08（均P〈0.05）,而3、6、12个月的RR再发脑梗分别为4.51、3.38和2.93（均P〈0.05）。结论：脑梗死急性期C反应蛋白水平检测能有效评估患者的预后。

The prognostic significance of C-reactive protein level in patients with acute cerebral infarction

Objective： To study the prognostic significance of C-reactive protein（CRP） level in patients with acute cerebral infarction.Methods： 217 patients with acute cerebral infarction were selected,and the patients were divided into CRP normal group（CRP≤3 mg/L,115 cases） and CRP increase group（CRP3 mg/L,102 cases）.A follow-up of 1 year was finished.The risk ratio（RR） was calculated to assess the correlations between the concentration of CRP and prognosis.Results： CRP increase group had significantly worse prognosis.RRDeath after 3 months,6 months and 12 months were 3.76,2.58 and 2.08（all P0.05）,and RRRecurrent cerebral infarction were 4.51,3.38 and 2.93 respectively（all P0.05）.Conclusion： CRP level of the acute cerebral infarction has a sufficient value as a predictor of the prognosis in patients with cerebral infarction.