非急性缺血性脑卒中患者肠道屏障功能及其危险因素分析

Intestinal barrier function of non-acute ischemic stroke patients and its risk factors

  • 摘要:
      目的  探讨非急性缺血性脑卒中住院患者肠道屏障功能及其相关危险因素。
      方法  将67例非急性缺血性脑卒中患者设为实验组,并将同期入院的70例非脑卒中患者设为对照组。比较2组患者肠道屏障功能各指标情况,同时对实验组患者肠道屏障功能的可能影响因素进行回归分析。
      结果  实验组患者的血D-乳酸水平高于对照组,差异有统计学意义(P < 0.05); 实验组患者的血脂多糖及二胺氧化酶水平亦高于对照组,但组间差异无统计学意义(P>0.05); 回归分析显示,合并高血压病、糖尿病、肾功能不全、营养不良是非急性脑卒中患者肠道屏障功能障碍的相关危险因素。
      结论  非急性缺血性脑卒中患者肠道屏障功能障碍以血D-乳酸水平升高为主要表现,积极干预相关危险因素可改善患者肠道屏障功能,提高疾病综合防治水平。

     

    Abstract:
      Objective  To explore intestinal barrier function of non-acute ischemic stroke patients and its risk factors.
      Methods  A total of 67 patients with non-acute ischemic stroke in our hospital were selected as experimental group, and 70 patients with non-ischemic stroke during the same period were as control group. The indicators of intestinal barrier function of the two groups were compared. At the same time, regression analysis was carried out on possible influencing factors of the experimental group.
      Results  It showed a significant difference in D-lactic acid since its level was higher in experimental group than the control group (P < 0.05); lipopolysaccharides and diamine oxidase were higher in experimental group, but there were no significant between-group differences (P>0.05). The multiple regression analysis showed that non-acute ischemic stroke combined with hypertension, diabetes and renal insufficiency and malnutrition were risk factors of intestinal barrier dysfunction.
      Conclusion  Intestinal barrier dysfunction in patients with non-acute ischemic stroke mainly manifested as the elevation of blood D-lactate level. Active intervention of related risk factors can improve the intestinal barrier function and enhance the comprehensive prevention and treatment ability of the disease.

     

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