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肿瘤坏死因子α、超敏C反应蛋白、低密度脂蛋白胆固醇与老年急性脑梗死的相关性

  

  1. 定西市人民医院 a.神经内一科; b.心电图,甘肃 定西 743000
  • 出版日期:2016-09-05 发布日期:2016-08-31
  • 通讯作者: 通信作者:贺淑琴,Email: hsq0628@126.com

Correlation of tumor necrosis factor α, high sense Creactive protein,lower density  lipoprotein cholesterol with acute cerebral infarction in elderly patients

  1. a.Department of Neurology;  b. Department of Electrocardiography, Dingxi Renmin Hospital,Dingxi 743000,China
  • Online:2016-09-05 Published:2016-08-31
  • Contact: Corresponding author: He Shuqin,Email: hsq0628@126.com

摘要: 目的探讨肿瘤坏死因子(TNFα)、超敏C反应蛋白(hsCRP)、低密度脂蛋白胆固醇(LDLC)与老年急性脑梗死(ACI)的相关性。方法在我院就诊的老年ACI的患者75例,同时选取在本院体检的老年健康人40例做为对照,比较两组各生化指标的差异;分析患者的临床特征与TNFα、hsCRP、LDLC水平的关系;分析患者的TNFα、hsCRP、LDLC水平的相关性。结果ACI组总胆固醇(TC)、甘油三脂(TG)、TNFα、hsCRP、LDLC水平均高于正常对照组(P<0.05)。ACI患者的LDLC、hsCRP、TNFα水平随着体质量指数、病情和颈动脉内膜厚度(IMT)增加而升高(P<0.05);患者的LDLC与hsCRP呈正相关(r=0.424,P<0.01);LDLC与TNFα呈正相关(r=0.352,P=0.002);hsCRP与TNFα呈正相关(r=0.480,P<0.01)。结论老年ACI患者的TNFα、hsCRP、LDLC水平异常增高,且与病情程度相关,其可作为患者病情发生发展的重要评估指标。

关键词: 脑梗死;肿瘤坏死因子α;C反应蛋白质;胆固醇, LDL

Abstract: ObjectiveTo investigate the correlation of tumor necrosis factor α(TNFα), high sense Creactive protein(hsCRP), lower density lipoprotein cholesterol C(LDLC) with acute cerebral infarction(ACI) in elderly patients. MethodsSeventyfive cases of elderly patients with ACI were collected in our hospital, 40 elderly healthy people  in our hospital served as the controls from health check at the same time,  the differences of biochemical indicators were compared between two groups. Analysis was made in the relationship between clinical features and TNFα, hsCRP, LDLC levels, and the correlation analysis of TNFα, hsCRP and LDLC levels in acute cerebral infarction patients. ResultsThe TC, TG, LDLC, hsCRP and TNFα in ACI group were higher than those in control group (P<0.05). LDLC, hsCRP, TNFα in patients with ACI increased with BMI and the disease degree and IMT(P<0.05); LDLC and hsCRP  positively correlated (0.424,P<0.01), LDLC and TNFα showed positive correlation (r=0.352,P=0.002),hsCRP and TNFα  positively related (r=0.480,P<0.01). ConclusionTNFα,hsCRP and LDLC in elderly patients with ACI were abnormally higher, and correlated with the degree of disease, and they could be used as  important indexes in evaluation of the occurrence and development of the patients' condition.

Key words: brain infarction, tumor necrosis factoralpha, Creactive protein;cholesterol, LDL