脑中风后的炎症反应 - 一项临床观察研究
Björn Röyter1, Nellie Andréasson2, Bianka Forgo3,4,5
1Department of Obstetrics and Gynecology, Faculty of Medicine and Health, Örebro University, SE-701 82, Örebro, Sweden. bjorn.royter@oru.se.
BMC neurology
|May 30, 2025
概括
急性中风可能会导致体温,C反应蛋白 (CRP) 和白细胞 (WBC) 计数的轻微增加. 这些标志物水平明显高通常表明并发症,有助于诊断.
科学领域:
- 神经学 神经学
- 炎症研究 炎症研究
- 临床诊断 临床诊断 临床诊断
背景情况:
- 升高的体温和炎症标志物在急性中风中很常见.
- 这些升高的原因 (中风与并发症) 尚不清楚,可能会阻碍感染诊断和治疗.
研究的目的:
- 在没有并发症的急性中风患者中调查炎症参数的动态.
- 要区分中风引起的炎症和由并发症引起的炎症.
主要方法:
- 在症状出现后48小时内对急性中风患者进行前性队列研究.
- 每天监测并发症,每天测量体温和血液炎症标志物 (CRP,WBC) 长达10天.
- 早期测量与90天随访值的比较.
主要成果:
- 包括70名患者;51人没有并发症.
- 与90天随访相比,中风后的早期身体温度,CRP和WBC显著升高.
- 峰值升高:体温 (37.1°C在24-48小时),WBC (8.1 × 10^9/L在0-24小时),CRP (7.0 mg/L在120-144小时).
结论:
- 急性中风可以导致CRP,WBC和体温的轻微升高.
- 在没有并发症的患者中,较高的水平 (CRP>50 mg/L,WBC>11 × 10^9/L,温度>38°C) 是罕见的 (<2.5%),可能表明并发症.
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