作为中风的预后因素的完整血清参数:系统性审查
Samad Shams Vahdati1, Alireza Ala1, Nafiseh Vahed2
1Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.
Basic and clinical neuroscience
|June 16, 2023
概括
完整血清 (CBC) 测试可以帮助预测中风的结果. 红细胞分布宽度和血红蛋白水平的升高与中风预后和死亡率较差有关.
科学领域:
- 神经学 神经学
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,中风是导致长期残疾的主要原因.
- 准确的预后估计对于患者管理和资源分配至关重要.
研究的目的:
- 系统地审查中风患者全血细胞计 (CBC) 实验室发现的预后价值.
- 为了确定特定的CBC参数,可以预测中风的结果.
主要方法:
- 从1988年到2020年,主要数据库 (Medline,Embase,Scopus,Cochrane,ProQuest) 进行了系统的文献搜索.
- 关键词包括"中风"",红细胞分布宽度"",血细胞计数"",体质血红蛋白平均值"和"体质体积平均值".
- 通过内容分析进行了数据合成.
主要成果:
- 红细胞分布宽度 (RDW) 升高与中风,心血管事件和中风幸存者全因死亡率的风险增加有关.
- 血红蛋白和血球蛋白水平可以预测急性缺血性中风后的短期死亡率.
- 平均血小板体积和平均体质体积 (MCV) 在缺血性中风中显示出有限的预后意义.
结论:
- 完整血清 (CBC) 参数为中风提供了宝贵的预后信息.
- CBC是一种易于获得和具有成本效益的工具,用于在临床环境中评估中风预后.
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