血清葡萄糖酸盐比率在入院时作为一种潜在的生物标志物,用于严重性,功能性结果和急性缺血性中风的复发
Jie Li1, Wenyang Ma1, Wuzhuang Tang1
1Department of Neurology, The Affiliated Yixing Hospital of Jiangsu University, Yixing, People's Republic of China.
International journal of general medicine
|December 11, 2024
概括
入院血清葡萄糖酸盐比率可以预测急性缺血性中风的严重程度和不良结果. 较高的比率与功能状况的恶化和一年后中风复发的增加有关.
科学领域:
- 神经学 神经学
- 生物标志物 生物标志物
- 脑卒中研究 脑卒中研究
背景情况:
- 血清中的葡萄糖-酸盐比率与子arachnoid 出血和创伤性脑损伤的结果有关.
- 它与急性缺血性中风 (AIS) 严重程度和预后的关联尚不清楚.
研究的目的:
- 为了研究入院血清葡萄糖酸盐比率和AIS严重程度之间的关系.
- 确定该比率是否预测AIS患者的一年临床结果.
主要方法:
- 来自第三中国国家中风注册表III的5541名AIS患者的前性研究.
- 患者按入院血清葡萄糖酸盐比率的四分位数分组.
- 多重回归和受限制的立方线分析了与中风严重程度和1年结果的关联.
主要成果:
- 葡萄糖-酸盐比率的四分位数增加与更高的NIHSS得分以及中度至重度中风的增加相关.
- 最高四分位数组在一年内出现功能不良结果 (OR 1.67) 和中风复发 (HR 1.44) 的几率明显更高.
- 在比率和不良AIS结果之间没有发现显著的非线性关系.
结论:
- 输入血清葡萄糖酸盐比率显示了作为AIS严重程度的生物标志物的潜力.
- 这个比率可能有助于预测功能不良的结果和一年内中风复发.
- 进一步的研究可以验证其在中风管理中的临床实用性.
相关概念视频
Drug Dosing in Renal Diseases: Measurement of Glomerular Filtration Rate
146
The glomerular filtration rate (GFR) is a critical indicator of kidney health, reflecting how well the kidneys filter blood. Changes in GFR can signal potential kidney impairment, necessitating accurate measurement methods to monitor kidney function effectively.Various molecules can serve as markers for GFR measurement, with the ideal marker meeting several specific criteria. It must freely filter at the glomerulus, avoid reabsorption or secretion by the renal tubules, remain unmetabolized, not...
146
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration
342
Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
342
Serum Studies: Renal Function Tests
698
Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
698
Ischemic Stroke ll: Pathophysiology
68
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
68


