首页|血浆同型半胱氨酸与急性脑梗死的关系以及叶酸、VitB12干预的作用

血浆同型半胱氨酸与急性脑梗死的关系以及叶酸、VitB12干预的作用

扫码查看
目的 研究血浆同型半胱氨酸和急性脑梗死的关系以及叶酸、维生素B12干预的作用.方法 选取建德市中西医结合医院内科2015年12月~2016年12月收治的74例脑梗死患者作为观察组,以同一阶段接受体检的42例健康患者作为对照组.所有人员均采用荧光偏振免疫分析法对血浆中的同型半胱氨酸进行测量,在急性脑梗死患者中选择高同型半胱氨酸患者47例,再按照随机分类的方法将其分为治疗组(n=23)和非治疗组(n=24).治疗组采用叶酸和维生素B12治疗,非治疗组则不使用这些药物治疗,比较干预的效果.结果 观察组血浆同型半胱氨酸的含量明显高于对照组,差异有统计学意义(P<0.05).治疗组患者在使用叶酸和维生素B12干预之后其血浆HCY水平明显降低,与非治疗组相比差异有统计学意义(P<0.05).结论 急性脑梗死患者的血浆同型半胱氨酸水平明显高于正常人,因此需要将其控制在合理范围之内,叶酸和维生素B12可以有效地降低患者体内的血浆HCY,使其保持在较为合理的范围之内,对于预防急性脑梗死意义重大,值得临床推广应用.
The relationship between plasma homocysteine and acute cerebral infarction and the effect of folic acid and VitB12
Objective To study the relationship between plasma homocysteine and acute cerebral infarction and the effect of folic acid and VITB12.Methods74 cases of cerebral infarction patients in Jiande Hospital of Integrated Chinese and Western Medicine from December 2015 to December 2016 were selected as the observation group, 42healthy patients who received physical examination at the same stage were selected as the control group.All the researchers are using fluorescence polarization immunoassay to measure the plasma levels of homocysteine.47 patients with hyperhomocysteinemia in patients with acute cerebral infarction, then according to the classification method of randomly divided into the treatment group(n=23) and non treatment group(n=24).The treatment group was treated with folic acid and vitamin B12, while those in the non treatment group were not treated with these drugs, the effect of the intervention was compared.ResultsThe level of plasma homocysteine in the observation group was significantly higher than that in the control group, the difference was statistically significant (P<0.05).The levels of plasma HCY in the treatment group were significantly decreased after treatment with folic acid and vitamin B12,compared with non treatment group, the difference was statistically significant (P<0.05).ConclusionIn patients with acute cerebral infarction and the plasma homocysteine level was significantly higher than normal, so it needs to be controlled in a reasonable range, folic acid and vitamin B12 can reduce plasma HCY of the patient's body, and keep it in a more reasonable range, for the prevention of acute cerebral infarction is significant, it is worthy of clinical application.

plasma homocysteineacute cerebral infarctionfolic acidvitamin B12intervention

方振华

展开 >

建德市中西医结合医院 内科,浙江 建德 311612

血浆同型半胱氨酸 急性脑梗死 叶酸 维生素B12 干预作用

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
  • 1
  • 9