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
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南京医科大学校科技发展基金-面上项目(2014NJMU106)


Changes and clinical signification of von Willebrand factor antigen,D-dimer and fibrinogen deg-radation products in patients with acute cerebral infarction
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    摘要:

    目的 观察急性脑梗死患者血浆血管性血友病因子抗原(vWF:Ag)、D-二聚体(DD)和纤维蛋白原降解产物(FDP)的改变及临床意义。方法 采用免疫比浊法测定 vWF:Ag、DD和 FDP的水平。分析急性脑梗死组与对照组间 vWF:Ag、DD和 FDP水平的差异,随访脑梗死组 1年后 vWF:Ag、DD和 FDP的水平。结果 共纳入 94例急性脑梗死患者,其中男 56例(59.6%),女 38例(40.4%)。对照组为 120名健康体检者,其中男68名(56.7%),女52名(43.3%)。急性脑梗死组血浆 vWF:Ag和DD水平高于对照组(P<0.01)。 Logistic回归分析显示, vWF:Ag、DD水平升高是急性脑梗死的危险因素。 vWF:Ag、DD与NIHSS评分呈正相关( r=0.625、0.582,P< 0.01),vWF:Ag与DD呈正相关(r=0.320,P< 0.01)。出院一年后,预后差的脑梗死患者血浆 vWF:Ag、DD、FDP水平高于预后良好的患者(P<0.05)。结论 急性脑梗死患者血浆中 vWF: Ag、DD水平明显增高,且与病情严重程度相关。检测急性脑梗死患者的 vWF:Ag、DD水平,有助于对病情严重程度及预后的判断。

    Abstract:

    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.

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  • 在线发布日期: 2017-09-05