首页|NF-κB与急性一氧化碳中毒脑损伤预后的研究

NF-κB与急性一氧化碳中毒脑损伤预后的研究

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目的:本研究旨在探讨核因子 κB(NF-κB)与急性一氧化碳中毒脑损伤预后的相关性关系.方法:选取2021年 12月至 2024年1月收治的 112 例急性一氧化碳中毒患者作为研究对象.所有患者在入院时及治疗后 7 天采集血液样本,采用酶联免疫吸附法检测血清中 NF-κB 的表达水平.同时对患者进行神经系统检查及影像学评估,根据患者预后情况分为预后良好组和预后不良组.比较两组患者 NF-κB 水平、年龄、中毒时间等指标差异,采用Pearson方法分析 NF-κB 与脑损伤预后的相关性.结果:112 例患者中,预后良好组64 例,预后不良组 48 例.两组患者入院时 NF-κB 水平差异具有统计学意义(P<0.05),治疗后差异也具有统计学意义(P<0.05),对应 NIHSS 评分为(5.2±2.8)分,相关性系数为 0.687,P 值为 0.003;预后不良组 NF-κB 表达水平为(18.9±3.5)ng/mL,NIHSS 评分为(18.6±4.1)分,相关性系数为 0.823,P 值为 0.001.结论:NF-κB 水平与急性一氧化碳中毒脑损伤预后具有显著相关性.血清 NF-κB 水平较高的患者预后不良的风险增加.通过检测 NF-κB 水平可为急性一氧化碳中毒患者的预后评估提供参考依据.
Prognosis of NF-κB and Acute Carbon Monoxide Poisoning in brain
Objective:To investigate the relationship between nuclear factor κB(NF-κB)and prognosis of brain injury caused by acute carbon monoxide poisoning.Methods:A total of 112 patients with acute carbon monoxide poisoning from December 2021 to January 2024 were selected as the study objects.Blood samples were collected from all patients at admission and 7 days after treatment,and serum NF-κB expression levels were detected by ELISA.At the same time,the patients underwent neurological examination and imaging evaluation,and were divided into good prognosis group and poor prognosis group according to the prognosis.The correlation of NF-κB level,age and time of poisoning between the two groups was analyzed by Pearson method.Results:Of the 112 patients,64 had good prognosis and 48 had poor prognosis.There was a statistically significant difference in NF-κB level between the two groups at admission(P<0.05)and after treatment(P<0.05).The corresponding NIHSS score was(5.2±2.8),the correlation coefficient was 0.687,and the P value was 0.003.In the poor prognosis group,the expression level of NF-κB was(18.9±3.5)ng/mL,the NIHSS score was(18.6±4.1),the correlation coefficient was 0.823,and the P value was 0.001.Conclusion:NF-κB level is significantly correlated with the prognosis of brain injury caused by acute carbon monoxide poisoning.Patients with higher serum NF-κB levels have an increased risk of poor outcomes.Detection of NF-κB level can provide a reference for prognosis assessment of patients with acute carbon monoxide poisoning.

acute carbon monoxide poisoningbrain injuryNF-κBprognosiscorrelation

肖仙章、黄莉冰、苏耿、李志文、陈粤明、柯道

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广东省湛江中心人民医院(524000)

急性一氧化碳中毒 脑损伤 NF-κB 预后 相关性

2024

岭南急诊医学杂志
广东省医学会

岭南急诊医学杂志

影响因子:0.437
ISSN:1671-301X
年,卷(期):2024.29(6)