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Correlation analysis of serum uric acid, creatinine and cystatin C levels with  neurological deficits in young stroke patients

  

  1. a.Department of Neurology; b.Department of Clinical Laboratory,
    Beijing Pinggu Hospital, Beijing 101200, China
  • Online:2020-07-20 Published:2020-06-04
  • Contact: Corresponding author: Yu Hong, Email:yh97800@163.com

Abstract: Objective   To analyze the correlation between serum uric acid (SUA), creatinine (Cr) and cystatin C (CysC) levels and the degree of neurological deficits in young stroke patients. Methods   Forty  young patients with stroke who were hospitalized in Department of Neurology of  Beijing Pinggu Hospital  from May 2019 to December 2019 were selected as study group, and 40 healthy people who received physical examinations in the hospital were selected as  control group  during the same period. The levels of SUA, Cr, and CysC in two groups were compared by retrospective analysis of the clinical data.And at the same time, patients were divided into mild  group, moderate  group, and severe group according to National Institute of Health Stroke Scale(NIHSS). SUA, Cr, and CysC in patients with different NIHSS scores were compared.The correlation between SUA, Cr, CysC and NIHSS scores  were analyzed by linear regression. Results   The levels of SUA, Cr and CysC in study group were significantly higher than those in control group (P<0.05); SUA, Cr and CysC  of patients with different degrees of neurological deficits were different(P<0.05). With the aggravation  of neurological deficits, the  levels of SUA, Cr and CysC in patients  also gradually increased.  The results of correlation analysis showed that SUA, Cr and CysC of  young stroke patients  were significantly positively correlated with NIHSS scores (r=0.954, 0.954, 0.953, P<0.01). Multiple linear regression results showed that SUA, Cr, and CysC were all independent influencing factors of NIHSS score in young stroke patients (P<0.05). Conclusion  The  levels of SUA, Cr, and CysC in young stroke patients are significantly positively correlated with NIHSS scores, and SUA, Cr, and CysC are independent influencing factors of NIHSS score in young stroke patients. By detecting  the levels of SUA, Cr and CysC in young stroke patients, the early prediction of the degree of neurological deficits in patients  can be realized.

Key words: uric acid, creatinine, cystatin C, stroke, neurological deficit