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1、---------------------------------------------------------------------------------------------------無癥狀高尿酸血癥與急性腦梗死相關(guān)性的研究分析周志全,黃穎妍,宋海鋒,李書劍,黃登鵬(廣東省連州市人民醫(yī)院內(nèi)科二區(qū),廣東連州513400)[摘要]目的:探討無癥狀高尿酸血癥與急性腦梗死之間的關(guān)系。方法:選擇急性腦梗死患者108例為試驗(yàn)組,選擇同期住院患者或門診健康體檢者105例為對照組,測定血尿酸水平。試驗(yàn)組按(NIH
2、SS)卒中量表對所有患者的神經(jīng)功能缺損程度進(jìn)行評分,分成輕度組、中度組、重度組3個(gè)亞組;另按血尿酸水平分成血尿酸正常組和高尿酸血癥組;治療第10~14天再次對神經(jīng)功能進(jìn)行評分,評價(jià)療效。結(jié)果:①腦梗死組血尿酸水平均高于對照組(P<0.01);②腦梗重度組血尿酸水平高于中度組、輕度組及對照組(P<0.01),中度組高于死患者病情嚴(yán)重程度與血尿酸水平呈正相關(guān),輕度組、對照組(P<0.01),輕度組高于對照組(P<0.01);③腦梗死患者血尿酸水平正常組治療有效率>高尿酸血癥組(P<0.05)。結(jié)論:無癥狀高尿酸血癥
3、與急性腦梗死的發(fā)生密切相關(guān),是其獨(dú)立的危險(xiǎn)因素,尿酸水平高低與病情呈正相關(guān),且尿酸水平是預(yù)測療效的重要指標(biāo)。[關(guān)鍵詞]腦梗死;高尿酸血癥;無癥狀;危險(xiǎn)因素ResearchandAnalysisofCorrelationbetweenAsymptomaticHyperuricemiaandAcuteCerebralIn-farctionZHOUZhi-quan,HUANGYing-yan,———————————————————————————————————————————————----------------
4、-----------------------------------------------------------------------------------SONGHai-feng,etal(Section2ofInternalMedicine,ThePeople'sHos-pitalofLianzhou,Guangdong,Lianzhou513400,China)Abstract:ObjectiveToinvestigatetherelationshipbetweenasymptomati
5、chyperuricemiaandacutecerebralinfarc-tion.Method108casesofacutecerebralinfarctionpatientswereselectedasthetreatmentgroup,105inpatientsorhealthypeo-andblooduricacidlevelofeachobjectinthepletookphysicalexaminationatthesameperiodweretakenasthecontrolgroup,twogr
6、oupswastested.Forthetreatmentgroup,degreeofnervousfunctionaldefectswerescoredtoeachpatientaccordingtoNIH-SSandclassifiedintothreesubgroups,i.e.mildteam,mediumteamandsevereteam;andthenthetreatmentgrouppatientswerealsodividedintonormalteamandhighlevelteamaccor
7、dingtotheirblooduricacidlevels;10~14daysafterthetreatmentwasdegreeofnervousfunctionaldefectswerescoredagaintoassessthecurativeeffect.Results①theaveragebloodu-implemented,———————————————————————————————————————————————-----------------------------------------
8、----------------------------------------------------------ricacidlevelofcerebralinfarctiongroupwashigherthanthatofcontrolgroup(P<0.01);②thediseaseseverityofcerebralin-assevereteamhadhigherbloodu