首页|血清α-共核蛋白与轻度急性缺血脑卒中患者脑微出血及严重程度的关系

血清α-共核蛋白与轻度急性缺血脑卒中患者脑微出血及严重程度的关系

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目的 探究血清α-共核蛋白与轻度急性缺血脑卒中患者脑微出血及严重程度的关系。方法 选取2021年4月至2022年8月濮阳市人民医院神经内科收治的102例轻度急性缺血脑卒中患者作为研究对象,根据入院后头颅磁敏感加权成像检查将患者分为无脑微出血组37例和脑微出血组65例,同时脑微出血组根据脑微出血严重程度评分(NSL)将患者分为低危组22例、中危组22例及高危组21例。记录患者一般资料及血清α-共核蛋白水平,采用多因素logistic回归分析脑微出血的影响因素,Spearman相关性分析血清α-共核蛋白与脑微出血严重程度关系。结果 脑微出血组年龄、高血压比率、糖尿病比率、长期饮酒史比率、既往脑卒中史比率、超敏C反应蛋白、血清α-共核蛋白高于无脑微出血组(P<0。05)。经logistic回归显示高血压、糖尿病、长期饮酒史、超敏C反应蛋白、血清α-共核蛋白是轻度急性缺血脑卒中患者脑微出血危险因素(P<0。05)。低危组血清α-共核蛋白低于中危组和高危组,且中危组血清α-共核蛋白低于高危组(P<0。05)。经Spearman相关性分析显示血清α-共核蛋白与脑微出血严重程度呈正相关(P<0。05)。结论 轻度急性缺血脑卒中并发脑微出血患者血清α-共核蛋白明显升高,是轻度急性缺血脑卒中患者发生脑微出血的危险因素,且与脑微出血严重程度呈正相关。
Relationship between serum α-nuclein and cerebral microhemorrhage and severity in patients with mild acute ischemic stroke
Objective To investigate the relationship between serum α-conuclein and cerebral microhemorrhage and severity in patients with mild acute ischemic stroke.Methods Totally 102 patients with mild acute ischemic stroke ad-mitted to the neurology department of our hospital from April 2021 to August 2022 were selected as the research sub-jects.Based on the magnetic sensitive weighted imaging of the head after admission,the patients were divided into a group of 37 patients without cerebral microbleeds and a group of 65 patients with cerebral microbleeds.At the same time,the cerebral microbleeds group was divided into a low-risk group of 22 patients,a medium risk group of 22 pa-tients,and a high-risk group of 21 patients based on the severity score(NSL)of cerebral microbleeds.Record patient general information and serum α-Cokaryotic protein levels were analyzed using multivariate logistic regression to identi-fy the influencing factors of cerebral microbleeds,and Spearman correlation analysis was performed on serum levels α-The relationship between co nuclear protein and the severity of cerebral microbleeds.Results The age,hypertension,diabetes,long-term alcohol history,previous stroke,hypersensitivity C-reactive protein and serum α-concleitin were higher in the cerebral microhemorrhage group(P<0.05).logistic regression showed that hypertension,diabetes mellitus,long-term history of alcohol consumption,hypersensitivity C-reactive protein,and serum α-conuclein were risk factors for cerebral microhemorrhage in patients with mild acute ischemic stroke(P<0.05).Serum α-conuclein in the low-risk group was lower than that in the intermediate-risk group and high-risk group,and serum α-conu-clein in the intermediate-risk group was lower than that in the high-risk group(P<0.05).Spearman correlation a-nalysis showed that serum α-conuclein was positively correlated with the severity of cerebral microhemorrhage(P<0.05).Conclusion Serumα-co-nuclein in patients with mild acute ischemic stroke complicated by cerebral microhemorrhage is significantly increased,which is a risk factor for cerebral microhemorrhage in patients with mild a-cute ischemic stroke,and is positively correlated with the severity of cerebral microhemorrhage.

α-conucleinMild acute ischemic strokeMicrohemorrhage in the brainSeverityCorrelation

张凯、李平

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濮阳市人民医院神经内科,河南濮阳 457000

濮阳医学高等专科学校,河南濮阳 457000

α-共核蛋白 轻度急性缺血脑卒中 脑微出血 严重程度 相关性

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(5)
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