目的：探讨脑卒中患者血清胆红素水平变化与性别的相关性。方法入选我院脑梗死151例、脑出血105例及健康体检者120例，检测所有患者的总胆红素（TBIL）、直接胆红素（DBIL）、间接胆红素（IBIL）、空腹血糖（FBS）、尿素氮（BUN）、肌酐（Cr）、总胆固醇（TC）、甘油三酯（TG）、尿酸（UA），并进行统计学分析。结果脑梗死组患者TBIL及IBIL水平较低（P<0.05），而脑出血组Cr及FBS水平较高（P<0.05）；脑梗死组男性TBIL及IBIL水平较低，脑出血组Cr及FBS水平较高（P<0.05）；脑梗死组女性Cr及FBS水平较高（P<0.05），脑出血组女性FBS水平较高（P<0.05）。胆红素与各项指标相关性分析显示，UA与Cr、UA与TG之间存在正相关。结论男性血清TBIL及IBIL水平较低的患者我们应提早预防脑梗死的发生。%Objective To investigate the relationship between changes of serum bilirubin level and gender of the patients with stroke. Methods 151 cases of cerebral infarction enrol ed in our hospital,105 cases of cerebral hemorrhage and healthy 120 cases were chosen as research objects,detected al patients’ total bilirubin(TBIL),direct bilirubin(DBIL),indirect bilirubin(IBIL),fasting blood glucose(FBS),blood urea nitrogen(BUN),creatinine (Cr),total cholesterol(TC),triglyceride(TG),uric acid(UA),and conducted statistical analysis. Results IBIL and TBIL levels were lower in the group of patients with cerebral infarction and(P<0.05),Cr and FBS levels were higher in cerebral hemorrhage group(P<0.05),IBIL and TBIL levels were lower in cerebral infarction group,Cr and FBS levels were higher in cerebral hemorrhage group(P<0.05),high Cr and FBS levels in women of infarction group(P<0.05),FBS levels was higher in cerebral hemorrhage grou(P<0.05). Bilirubin and correlation analysis of the indicators showed that there was a positive correlation between the UA and TG. Conclusion The serum TBIL and IBIL levels in male patients are lower,we should conduct early prevention of cerebral infarction.
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