Changes and clinical signification of von Willebrand factor antigen,D-dimer and fibrinogen deg-radation products in patients with acute cerebral infarction
Objective To explore the changes and clinical signification of von Willebrand Fator Antigen(vWF:Ag),D-dimer(DD)and Fibrinogen Degradation Products (FDP)in acute cerebral infarction patients. Methods Levels of vWF:Ag, DD and FDP were measured by immune nephelometry. The differences of vWF:Ag, DD and FDP were analyzed between two groups. And the levels of vWF:Ag, DD and FDP were fol-lowed up for one year after the event. Results Totals of 94 patients with acute cerebral infarction were included[56(59.6%)males and 38(40.4%)females]. 120 healthy controls were included in the control group[68(56.7%) males and 52(43.3%)females]. Levels of vWF:Ag and DD in patients group were higher than that in control group(P< 0.01). The logistic regression analysis showed that increasing of vWF:Ag and DD were risk factors of acute cerebral infarction. Levels of vWF:Ag and DD were positive correlated with score of NIHSS(r=0.625,0.510; P< 0.01). Level of vWF:Ag was positive correlated with DD(r=0.688,P< 0.01). Levels of vWF:Ag,DD and FDP in patients with poor prognosis were higher than that in patients with good prognosis(P< 0.05). Conclu-sions Levels of vWF:Ag and DD are signifiantly increased in acute cerebral infarction patients,and positive correlated with NIHSS score. Detection of vWF:Ag and DD in acute cerebral infarction patients is contributed to the judgment of severity and prognosis of the disease.
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冯红选 奚晓雪 程庆璋 沈明强 吴冠会.急性脑梗死患者血浆血管性血友病因子抗原、D-二聚体和纤维蛋白原降解产物的改变及临床意义[J].神经疾病与精神卫生,2017,17(6): DOI :10.3969/j. issn.1009-6574.2017.06.003.