急性脑卒中后患者血清前白蛋白和血红蛋白与预后关系研究

目的：采用病例对照研究的方法,利用实验室检测前白蛋白、血红蛋白、人体测量学指标,对急性脑卒中患者营养状况做出迅速、准确的判断,同时采用NIHSS、改良Rankin量表的测定来判定与预后的关系。方法：共搜集133例符合入选标准病例,依据营养状况分为营养正常组和营养不良组,入院时及入院后2周完成体重指数（BMI）、三头肌皮褶厚度（TSF）、上臂中点围（MAC）的测量、美国国立卫生院神经功能缺损评分（NIHSS）、改良Rankin量表的评分及采集血液做血清前白蛋白、血红蛋白的测定。结果：卒中后营养不良患者中重度残疾（Rankin评分4～5分）的患者为45.6%,而正常营养状态患者为12.3%;卒中后低前白蛋白血症中重度残疾患者为50.8%,显著高于正常血清前白蛋白患者的8.8%;卒中后低血红蛋白重度残疾患者为33.3%,而正常血红蛋白患者为28.7%。结论：卒中后营养不良、低前白蛋白血症与残障程度有关,低血红蛋白与残障程度无关

Relationships between Serum Prealbumin,Hemoglobin and Prognosis of Acute Stroke

Objective:To determine the nutritional status of patients with acute stroke by the levels of prealbumin,hemoglobin and anthropometric indexes in a case-control study.And to detect the relationships between those biomarkers and prognosis of the disease by NIHSS,as well as modified Rankin Scale Determination.Methods: According to the nutritional status,133 patients with acute stroke were divided into normal nutrition group and malnutrition group.Body mass index(BMI),triceps skinfold thickness(TSF),mid-upper a...