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高尿酸血症与缺血性脑卒中的关联:一项病例对照研究。

Association between Hyperuricemia and Ischemic Stroke: A Case-Control Study.

作者信息

Fatima Tooba, Iftikhar Sadaf, Qureshi Irshad Hussain

机构信息

Department of Medicine, King Edward Medical University / Mayo Hospital, Lahore, Pakistan.

Department of Neurology, King Edward Medical University / Mayo Hospital, Lahore, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2020 Aug;30(8):853-856. doi: 10.29271/jcpsp.2020.08.853.

DOI:10.29271/jcpsp.2020.08.853
PMID:32893799
Abstract

OBJECTIVE

To find the association between hyperuricemia and ischemic stroke.

STUDY DESIGN

Case-control study.

PLACE AND DURATION OF STUDY

Departments of Medicine and Neurology, Mayo Hospital, Lahore, from October 2015 to September 2016.

METHODOLOGY

A total of 100 patients were recruited in the study. Fifty cases were of acute ischemic stroke and fifty were age- and gender-matched healthy controls. Serum uric acid level was estimted by photometry method at the time of admission. Hyperuricemia was defined as the serum uric acid level of more than 6 mg/dl.

RESULTS

Mean serum uric acid levels in cases and controls were 5.996 ±1.99 mg/dl and 5.042 ±0.91 mg/dl, respectively. Hyperuricemia was present in 23 (46%) patients with ischemic stroke and in 10 (20%) controls. Among ischemic stroke patients, the frequency of hyperuricemia was significantly higher than in controls (p-value =0.006, Odds Ratio (OR) =3.41.) Conclusion: Serum uric acid was found significantly elevated in ischemic stroke patients versus controls with 3.41 times more risk of having hyperuricemia in ischemic stroke patients. Key Words: Hyperuricemia, Ischemic stroke, Serum uric acid (SUA).

摘要

目的

探讨高尿酸血症与缺血性卒中之间的关联。

研究设计

病例对照研究。

研究地点及时间

拉合尔梅奥医院内科和神经内科,2015年10月至2016年9月。

方法

本研究共纳入100例患者。其中50例为急性缺血性卒中患者,50例为年龄和性别匹配的健康对照。入院时采用光度法测定血清尿酸水平。高尿酸血症定义为血清尿酸水平超过6mg/dl。

结果

病例组和对照组的平均血清尿酸水平分别为5.996±1.99mg/dl和5.042±0.91mg/dl。23例(46%)缺血性卒中患者存在高尿酸血症,10例(20%)对照者存在高尿酸血症。在缺血性卒中患者中,高尿酸血症的发生率显著高于对照组(p值=0.006,比值比(OR)=3.41)。结论:缺血性卒中患者的血清尿酸水平显著高于对照组,缺血性卒中患者发生高尿酸血症的风险是对照组的3.41倍。关键词:高尿酸血症;缺血性卒中;血清尿酸(SUA)

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