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血清脂蛋白(a)对不同CISS亚型脑梗死患者的影响

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目的 探讨血清脂蛋白(a)对不同CISS亚型脑梗死患者的影响.方法 选取 2018 年 10 月至 2022 年11 月收治的脑梗死患者 234 例,其中大动脉粥样硬化(LAA)型患者 111 例、心源性卒中(CS)型患者 59 例、穿支动脉疾病(PAD)型患者 29 例、其他病因(OE)型患者 13 例、不确定病因(UE)型患者 22 例.收集所有患者的临床资料,检测血清脂蛋白(a).比较不同CISS亚型脑梗死患者的血清脂蛋白(a)水平,分析不同发病机制的大动脉粥样硬化(LAA)型患者血清脂蛋白(a)水平,并分析大动脉粥样硬化(LAA)型患者的影响因素.结果 在 234 例脑梗死患者中,大动脉粥样硬化(LAA)型患者血清脂蛋白(a)水平显著高于其他类型,且差异有统计学意义(P<0.05).大动脉粥样硬化(LAA)型患者高血压患病率低于非LAA型患者(P<0.05).大动脉粥样硬化(LAA)型患者高脂血症患病率高于非大动脉粥样硬化(LAA)型患者(P<0.05).且大动脉粥样硬化(LAA)型患者多有吸烟史(P<0.05).高血压、高脂血症、吸烟史均是大动脉粥样硬化(LAA)型患者的影响因素.结论 血清脂蛋白(a)在不同CISS亚型脑梗死患者中呈差异表达,大动脉粥样硬化(LAA)型患者的血清脂蛋白(a)表达水平最高.
Effect of serum lipoprotein(a)on cerebral infarction patients with different Chinese ischemic stroke subclassification subtypes
Objective To investigate the effect of serum lipoprotein(a)[LP(a)]on cerebral infarction patients with different subtypes of the Chinese ischemic stroke subclassification(CISS).Methods A total of 234 cerebral infarction patients were selected in our hospital from October 2018 to November 2022,including 111 patients with large artery atherosclerosis(LAA),59 patients with cardiogenic stroke(CS),29 patients with perforating artery disease(PAD),13 patients with other etiologies(OE),and 22 patients with a uncertain etiology(UE).Clinical data of all patients were collected.Serum LP(a)was detected,which,in cerebral infarction patients with different CISS subtypes was compared.Serum LP(a)in LAA patients with different pathogenic factors was analyzed.The influencing factors for LAA were analyzed.Results Among 234 cerebral infarction patients,serum LP(a)was significantly higher in LAA patients than that of other cerebral infarction patients(P<0.05).The prevalence of hypertension in LAA patients was significantly lower,while that of hyperlipidemia was significantly higher than that of other cerebral infarction patients(both P<0.05).Most LAA patients had a history of smoking(P<0.05).Hypertension,hyperlipidemia and smoking history were influencing factors for LAA.Conclusion Serum LP(a)is differentially expressed in cerebral infarction patients with different CISS subtypes,and among them,LAA patients have the highest serum LP(a).

serum lipoprotein(a)cerebral infarctionlarge artery atherosclerosis

玄丽慧、杨娜、冯玉婧、王茜、闫丽丽、孟艳宏、李雪梅

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063000 河北省唐山市,开滦总医院神经内科

血清脂蛋白(a) 脑梗死 大动脉粥样硬化

河北省医学科学研究重点课题计划

20150843

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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