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急性脑梗死患者血糖、肌酐、尿素氮及血清ET-1水平的研究
引用本文:段新旺,黄亮,李辉华.急性脑梗死患者血糖、肌酐、尿素氮及血清ET-1水平的研究[J].中华急诊医学杂志,2011,20(10).
作者姓名:段新旺  黄亮  李辉华
作者单位:1. 南昌大学第一附属医院急诊科, 南昌,330006
2. 南昌大学第一附属医院神经内科, 南昌,330006
摘    要:目的 探讨急性脑梗死患者血糖、肌酐、尿素氮及血清内皮素( endothelin-1,ET-1)水平的变化及其神经功能缺损程度与ET-1水平的关系.方法 用125I放射免疫法分析50例发病在24h内的急性脑梗死患者与对照组50例同期非神经系统疾病患者血清ET-1水平的变化,并比较其血糖、肌酐及尿素氮水平.结果 急性脑梗死组血糖、肌酐及尿素氮水平差异无统计学意义(P>0.05),但血清ET-1水平显著性高于对照组(P<0.01),且急性脑梗死血清ET-1水平的变化与其神经功能缺损程度显著性相关,不同组间均P值<0.01.结论 血清ET-1水平可作为急性脑梗死发生预测及预后评估的指标之一.

关 键 词:急性脑梗死  ET-1  神经功能缺损  血糖  肌酐  尿素氮

Study on glucose, creatinine, urea nitrogen and serum ET-1 of patients with acute cerebral infarction
DUAN Xin-wang,HUANG Lian,LI Hui-hua.Study on glucose, creatinine, urea nitrogen and serum ET-1 of patients with acute cerebral infarction[J].Chinese Journal of Emergency Medicine,2011,20(10).
Authors:DUAN Xin-wang  HUANG Lian  LI Hui-hua
Abstract:Objective To study glucose,creatinine,urea nitrogen and serum ET-1 of patients with acute cerebral infarction,and to explore the relationship between neurologic impairment and ET-1 levels.Methods The glucose,creatinine,urea nitrogen and serum ET-1 were retrospectively analyzed in 50 patients with acute cerebral infarction ( < 24 h) and 50 patients with non-neurological diseases.ET-1 determined by 125I radioimmunoassay.Results There were no significant differences in glucose,creatinine and urea nitrogen of acute cerebral infarction ( P > 0.05 ) ; Compared to the control groups,ET-1 levels was significantly higher ( P < 0.01 ),and levels of serum ET-1 in acute cerebral infarction were significantly correlated with their neurological deficits ( P < 0.01 ).Conclusions Levels of serum ET-1 can severd as diagnostic and prognostic indicator of acute cerebral infarction.
Keywords:Acute cerebral infarction  ET-1  Neurologic impairment  Glucose  Creatinine  Urea nitrogen
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