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急性缺血性脑卒中患者前蛋白转化酶枯草溶菌素9与血脂水平及临床意义

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目的:探讨前蛋白转化酶枯草溶菌素 9(PCSK9)与急性缺血性脑卒中(AIS)患者的血脂水平及与AIS严重程度的相关性.方法:选取天津市北辰医院诊治的 200 例AIS患者作为AIS组,另选取体检的 200 例健康者为对照组.收集两组临床资料,检测两组血脂和PCSK9 水平,AIS组根据美国国立卫生研究院脑卒中量表(NIHSS)进行评分,分为轻-中度组(NIHSS评分<15 分)和重度组(NIHSS评分≥15 分).使用Pearson相关性分析探讨在AIS组中PCSK9 与AIS患者血脂水平、AIS严重程度相关性.结果:AIS组的三酰甘油(TG)、血浆总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、PCSK9 水平均高于对照组(P<0.05),高密度脂蛋白胆固醇(HDL-C)水平低于对照组,差异有统计学意义(P<0.05).AIS组患者PCSK9 水平与TG、TC、LDL-C、HDL-C均存在相关性(P<0.05).重度组患者的PCSK9 表达水平显著高于轻-中度组(P<0.05).结论:脑卒中患者多伴随有血脂异常、PCSK9 蛋白水平升高,且PCSK9 蛋白水平与AIS患者的血脂水平、疾病严重程度存在一定相关性.
Correlation between the level of blood lipids and clinical manifestations of the pre-protein converting en-zyme subtilisin 9 in patients with acute ischemic stroke
Objective To explore the correlation between the level of blood lipids and the severity of acute ischemic stroke(AIS)and the level of protein converting enzyme subtilisin 9(PCSK9).Method A total of 200 patients with acute ischemic stroke diagnosed and treated by Tianjin Beichen Hospital were selected as the AIS group,and 200 healthy people were selected as the control group.The clinical data of the two groups of patients were collected,and the levels of lipids and PCSK9 were measured.Patients with AIS were di-vided into mild-moderate group(NIHSS score<15)and severe group(NIHSS score≥15)according the National Institutes of Health Stroke Scale(NIHSS).Pearson correlation analysis was used to explore the correlation between PCSK9 and the level of lipids and the severity in AIS patients.Results The levels of TG,TC,LDL-C and PCSK9 in AIS group were higher than those in the control group(P<0.05),while the levels of HDL-C were lower than those in the control group(P<0.05).The level of PCSK9 in AIS group was correlated with TG,TC,LDL-C and HDL-C(P<0.05).The expression level of PCSK9 in the severe group was significantly higher than that in mild-moderate group(P<0.05).Conclusion Stroke patients are often accompanied by abnormal lipids and elevated PC-SK9 protein level,and there is a certain correlation between PCSK9 protein level and the level of blood lipids and disease severity in AIS patients.

Acute ischemic strokePCSK9LipidsSeverity

胡群亮、田竺、吴焕成、张盛蕊

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天津市北辰医院脑系科,天津 300400

急性缺血性脑卒中 前蛋白转化酶枯草溶菌素9(PCSK9) 血脂 严重程度

天津市北辰区科技计划

SHGY-2020008

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(6)
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