首页|血清胱抑素C、β2微球蛋白与缺血性脑小血管病的相关性研究

血清胱抑素C、β2微球蛋白与缺血性脑小血管病的相关性研究

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目的 探究血清胱抑素C(cystatin C,Cys C)、beta-2 微球蛋白(beta-2 microglobulin,β2-MG)水平与缺血性脑小血管病(cerebral small vessel disease,CSVD)及其亚组的相关性.方法 选取 2019年 1 月至 2021 年 12 月笔者医院神经内科收治的缺血性CSVD患者 234 例作为研究组,同期同年龄头颅核磁共振检查正常的体检者 92 例为对照组.研究组进一步分为腔隙性梗死(lacunar infarction,LI)组、白质病变(white matter lesions,WML)组及LI+WML组,分别比较各组患者 Cys C、β2-MG 水平;并进行危险因素回归分析.结果 缺血性 CSVD 组与对照组比较,CYS-C、β2-MG差异有统计学意义(P<0.05);亚组危险因素分析显示:WML及LI+WML组与正常对照组比较Cys C、β2-MG差异有统计学意义(P<0.05).采用多因素Logistics回归分析显示,血清CYS-C、β2-MG是WML亚组与WML+LI亚组的独立危险因素.结论 Cys C、β2-MG是缺血性CSVD人群尤其WML和WML+LI人群的独立危险因素.
Study on the correlation between cystatin C,microglobulin and ischemic cerebral small vessel disease
Objective To explore the the correlation between cystatin C(Cys C),beta-2 microglobulin(β2-MG)and ischemic cerebral small vessel disease(CSVD)and its subgroups.Methods Totally 234 patients with CSVD were assigned to the study group,and 92 elderly people with no abnormal findings in head MRI were selected as controls.The CSVD patients were further divided into the subgroups of lacunar infarction(LI),white matter lesion(WML)and LI+WML.Each group was compared risk factors include the blood level of Cys C and β2-MG.Results There were statistically significant differences between CSVD group and control group in cystatin C(Cys C)and β2-MG(P<0.05).Cystatin C(Cys C)and β2-MG there were statistically significant differences between WML group and control group(P<0.05),and also between WML+LI group and control group(P<0.05).Logistic regression analysis and comparison across subgroups showed Cys C and β2-MG to be the common risk factors for WML group and WML+LI group inpatients with ischemic cerebral small vessel disease.Conclusion Cys C and β2-MG are the common risk factors for WML group and WML+LI group inpatients with ischemic cerebral small vessel disease.The risk factors vary across different CSVD subgroups.

Cerebral small vessel diseaseCystatin Cβ2-microglobulin

丁联斌、方麒林、刘团结、王博、沈滔、毛蕾、徐玉萍、吉莉、苏云楠

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复旦大学附属中山医院吴淞医院神经内科,上海 200940

脑小血管病 血清胱抑素C β2-微球蛋白

上海市宝山区科委科技创新专项

19-E54

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(11)
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