[Comparison between CRP and prognosis of patient with CVA in MCA [superior branch] on Golestan hospital admitted patients [2006-2007]]

ABSTRACT

Regarding to the point that CVA is one of major reasons of mortality in aged people; and various studies about role of CRP in the disease prognosis has been done, in the study we have tried to analyze relation ship between CRP Level during bedridden period and disability rate of patient after a month. The research has been gained via studying on 50 patients [27 men.23 women], which by ischemic Cerebral attack in middle cerebral artery pathway [upper branch] regarding to description, clinical examination and cerebral C.T. Scan of Patient have been confirmed to bed. Age average of the patients is 60-80 years old, which regarding to biochemical test of blood at the time of referral to hospital has been divided into two groups positive CRP [Ml, infectious and inflammatory disease must be rule out] and negative CRP. At the time of bedridden motor function examination, has been recorded in emergency; and after a month. Motor function of patients has been recorded again, [by referring to their homes]. It is clear that both groups had a same treatment care during one month. Muscular force in CVA patients, before treatment, which had positive CRP in comparison with Muscle force patients before treatment with negative CRP had no meaningful difference [P<0.765]. Muscular force had no meaningful difference a month after treatment in patients with positive CRP in comparison with negative CRP [P<0.262], but changes of muscular force before treatment and a month after treatment was meaningful in patients with positive CRP [P<0.014], and muscular force improvement of negative CRP patients was more obvious. Regarding to the point that in the above research it is cleared those CVA patients. Who had positive CRP in comparison with the patients who had negative CRP, had worse prognosis, and so it seems that role of inflammatory elements in prognosis of CVA patients is considerable and analyzable. It is clear that by Considering CRP factor, we may get new treatment strategies