压力高血糖比率与急性缺血性中风的预后之间的关联:系统性审查和元分析
Zhuoya Jiang1, Kunyu Wang1, Hanying Duan1
1Department of Neurology, Neuroscience Centre, the First Hospital of Jilin University, Changchun, China.
BMC neurology
|January 3, 2024
概括
在急性缺血性中风 (AIS) 患者中,高压力高血糖比 (SHR) 表明预后不佳. 这个新的指标,SHR,可能有助于预测AIS患者的结果,指导未来的治疗策略.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 临床医学 临床医学
背景情况:
- 压力高血糖症是由于炎症或神经激素变化的血糖暂时上升,在急性疾病中很常见.
- 在急性缺血性中风 (AIS) 中压力高血糖比率 (SHR) 的预后意义仍在调查中.
研究的目的:
- 研究急性阶段压力高血糖比率 (SHR) 与急性缺血性中风 (AIS) 患者的预后之间的关联.
主要方法:
- 进行了全面的数据库搜索,以确定相关研究.
- 使用标准化平均差异 (SMD) 和95%置信区间 (CI) 的元分析来评估SHR和AIS预后之间的关系.
主要成果:
- 与预后良好患者相比,患有AIS和预后不佳的患者的SHR值显著更高 (SMD=0.56,95%CI:0.37-0.75,p<0.001).
- 研究设计和中风后治疗变化被确定为异质性的潜在来源.
结论:
- 在急性阶段增加的SHR与AIS患者的不良结果有关.
- SHR成为急性缺血性中风不良预后的潜在新型预测因素.
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