首页|血清vaspin水平与急性脑梗死患者病情严重程度、预后情况及炎性因子的相关性

血清vaspin水平与急性脑梗死患者病情严重程度、预后情况及炎性因子的相关性

Correlation between serum vaspin level and severity,prognosis and inflammatory factors in patients with acute cerebral infarction

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目的:探讨急性脑梗死(ACI)患者血清vaspin水平的变Lianyungang重程度、预后状况及炎性因子的相关性.方法:ACI患者105例,根据不同卒中程度分为轻度卒中组、中度卒中组、重度卒中组3组,同时按预后情况分成预后良好组、预后不良组.取同期健康体检者34例作为健康对照组.采用ELISA法测定血清vaspin水平,同时测定白细胞介素-6(IL-6)、超敏C反应蛋白(hsCRP)及其他生化指标,并做统计学处理.结果:ACI组vaspin水平显著低于健康对照组,IL-6、hsCRP显著高于健康对照组,差异有统计学意义(P<0.01);重度卒中组vaspin水平低于轻度卒中组、中度卒中组,IL-6、hsCRP水平高于轻度卒中组、中度卒中组;中度卒中组vaspin水平低于轻度卒中组,IL-6、hsCRP水平高于轻度卒中组,差异有统计学意义(P<0.01);Spearman相关分析显示,ACI 组血清 vaspin 与 FBG、FINS、HOMA-IR、TG、LDL-C、IL-6、hsCRP 呈负相关,r 值分别为(-0.409、-0.341、-0.305、-0.286、-0.357、-0.415、-0.388,P<0.05),与 BMI、HDL-C 呈正相关,r 值分别为(0.459、0.375,P<0.05),与年龄、BSP、HSP无相关性(P>0.05).结论:ACI患者血清vaspin水平降低,且与患者卒中程度、预后情况以及炎性因子IL-6、hsCRP表达水平具有相关性.Vaspin可以作为判断患者病情严重程度、预后评估的依据.
Objective:To investigate the relationship between serum vaspin level and severity,prognosis and inflammatory factors in patients with acute cerebral infarction(ACI).Methods:105 patients with ACI were divided into 3 groups:mild stroke group,moderate stroke group and severe stroke group according to the degree of stroke.Thirty-four healthy persons were selected as control group.The serum levels of vaspin,IL-6,HSCRP and other biochemical IL-6 were measured by Elisa.Results:The levels of vaspin in ACI Group were significantly lower than those in healthy control group,and the levels of IL-6 and HSCRP in ACI Group were significantly higher than those in healthy control group(P<0.01),the levels of Vaspin in moderate stroke group were lower than those in mild stroke group,and the levels of IL-6 and HSCRP in moderate stroke group were higher than those in mild stroke group(P<0.01),in ACI Group,serum vaspin was negatively correlated with FBG,FINS,HOMA-IR,TG,LDL-C,IL-6,HSCRP(R=-0.409,-0.341,-0.305,-0.286,-0.357,-0.415,-0.388,P<0.05),and positively correlated with BMI and HDL-C,the R values were(0.459,0.375,P<0.05),and had no correlation with age,BSP and HSP(P>0.05).Conclusion:The serum level of vaspin is decreased in patients with ACI,and it is correlated with the degree of stroke,the prognosis,the expression of IL-6 and HSCRP.Vaspin can be used to judge the severity of the disease and evaluate the prognosis.

Acute cerebral infarctionVaspinIL-6hsCRP

张丽、汤小利、杨收平、李海英

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连云港市第一人民医院检验科,江苏连云港 222000

连云港市东方医院普通内科,江苏连云港 222042

连云港市东方医院检验科,江苏连云港 222042

急性脑梗死 vaspin IL-6 hsCRP

2024

医学检验与临床
山东省千佛山医院

医学检验与临床

影响因子:0.294
ISSN:1673-5013
年,卷(期):2024.35(1)
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