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急性脑梗死患者血清C反应蛋白及肿瘤坏死因子-α和白细胞介素-6水平的变化及临床意义 被引量:14

Levels of serum C-reactive protein,tumor necrosis factor-α and interleukin-6 in patients with acute cerebral infarction
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摘要 目的观察急性脑梗死(ACI)患者血清C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平的变化,探讨炎症反应与ACI的关系。方法 75例ACI患者(ACI组)分为轻度组29例、中度组25例和重度组21例;另选择同期进行健康体检者50名作为对照组;检测血清CRP、TNF-α和IL-6水平,并进行比较。结果ACI组患者血清CRP、TNF-α和IL-6水平显著高于对照组(P<0.05);重度组血清CRP、TNF-α和IL-6水平显著高于轻度组和中度组(P<0.05);中度组血清CRP、TNF-α和IL-6水平显著高于轻度组(P<0.05)。结论血清CRP、TNF-α和IL-6水平升高可能与ACI的发生发展有关;检测血清CRP、TNF-α和IL-6水平有助于临床评估ACI的严重程度、治疗效果及预后。 Objectives To explore the change of the levels of serum C-reactive protein(CRP) ,tumor necrosis factor-a (TNF-ct) and intedeukin-6 (IL-6) in patients with acute cerebral infarction(ACI) , and to explore the relationship between inflammatory reaction and ACI. Methods Seventy-five patients with ACI ( ACI group) were divided into the mild group ( n = 29 ), moderate group( n = 25 ) and severe group( n = 21 ). At the same time ,fifty healthy people were chose as control group. The levels of serum CRP,IL-6 and TNF-a were detected and compared. Results The levels of serum CRP,IL-6 and TNF-a in ACI group were significantly higher than those in control group ( P 〈 0. 05 ). The levels of serum CRP, IL-6 and TNF-a in severe group were significantly higher than those in mild group and moderate group ( P 〈 0.05 ). The levels of serum CRP, 1L-6 and TNF-a in moderate group were significantly higher than those in mild group (P 〈 0.05 ). Conclusions The increasing of serum CRP, IL-6 and TNF-a levels may be related with the occurrence and development of ACI. The detection of serum CRP, IL-6 and TNF-a should be helpful to assess the severity, therapeutic efficacy and prognosis of patients with ACI.
作者 陈娟
出处 《新乡医学院学报》 CAS 2013年第1期42-43,共2页 Journal of Xinxiang Medical University
关键词 急性脑梗死 C反应蛋白 肿瘤坏死因子-Α 白细胞介素-6 acute cerebral infarction C-reactive protein tumor necrosis factor-a intedeukin-6
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