世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2014年
12期
27-28
,共2页
轻型脑卒中%大血管病变%血清高敏c反应蛋白%血清d二聚体
輕型腦卒中%大血管病變%血清高敏c反應蛋白%血清d二聚體
경형뇌졸중%대혈관병변%혈청고민c반응단백%혈청d이취체
light stroke%large vascular lesions%serum high-sensitivity c-reactive protein%serum d dimer
目的：探讨伴或不伴颅内大动脉病变的轻型脑卒中患者急性期血清炎性指标差异比较，为鉴别轻型脑卒中的病因提供血清学帮助。方法随机选取我院2010年9月至2013年8月期间收治的确诊为轻型脑卒中患者60例，根据患者的头颅磁共振、心脏评估及脑血管造影检查结果将所有患者分为两组：小动脉病变组（45例）和大血管病变组（15例）。对两组患者发热急性期血清d二聚体及血清高敏c反应蛋白水平进行测定，并对结果进行分析对比。结果小动脉病变组患者的血清高敏c反应蛋白水平明显低于大血管病变组，差异具有显著性（P<0.05）；小动脉病变组患者的血清d二聚体水平略低于大血管病变组患者，差异无显著性（P>0.05）；轻-中度血管狭窄患者的血清d二聚体水平明显低于大血管狭窄严重患者，差异具有显著性（P<0.05）。结论由炎症反应引起的微小栓塞和斑块不稳定时导致大动脉病变引起轻型脑卒中的主要原因。
目的：探討伴或不伴顱內大動脈病變的輕型腦卒中患者急性期血清炎性指標差異比較，為鑒彆輕型腦卒中的病因提供血清學幫助。方法隨機選取我院2010年9月至2013年8月期間收治的確診為輕型腦卒中患者60例，根據患者的頭顱磁共振、心髒評估及腦血管造影檢查結果將所有患者分為兩組：小動脈病變組（45例）和大血管病變組（15例）。對兩組患者髮熱急性期血清d二聚體及血清高敏c反應蛋白水平進行測定，併對結果進行分析對比。結果小動脈病變組患者的血清高敏c反應蛋白水平明顯低于大血管病變組，差異具有顯著性（P<0.05）；小動脈病變組患者的血清d二聚體水平略低于大血管病變組患者，差異無顯著性（P>0.05）；輕-中度血管狹窄患者的血清d二聚體水平明顯低于大血管狹窄嚴重患者，差異具有顯著性（P<0.05）。結論由炎癥反應引起的微小栓塞和斑塊不穩定時導緻大動脈病變引起輕型腦卒中的主要原因。
목적：탐토반혹불반로내대동맥병변적경형뇌졸중환자급성기혈청염성지표차이비교，위감별경형뇌졸중적병인제공혈청학방조。방법수궤선취아원2010년9월지2013년8월기간수치적학진위경형뇌졸중환자60례，근거환자적두로자공진、심장평고급뇌혈관조영검사결과장소유환자분위량조：소동맥병변조（45례）화대혈관병변조（15례）。대량조환자발열급성기혈청d이취체급혈청고민c반응단백수평진행측정，병대결과진행분석대비。결과소동맥병변조환자적혈청고민c반응단백수평명현저우대혈관병변조，차이구유현저성（P<0.05）；소동맥병변조환자적혈청d이취체수평략저우대혈관병변조환자，차이무현저성（P>0.05）；경-중도혈관협착환자적혈청d이취체수평명현저우대혈관협착엄중환자，차이구유현저성（P<0.05）。결론유염증반응인기적미소전새화반괴불은정시도치대동맥병변인기경형뇌졸중적주요원인。
Objective:to study the light with or without associated with intracranial artery lesions in patients with cerebral apoplexy diff acute phase serum inflammatory indicators, to identify provide serological help light the causes of cerebral apoplexy. Methods randomly selected from our hospital during the period of september 2010-august 2013 were diagnosed with light for 60 cases of patients with cerebral apoplexy, according to the patient's head magnetic resonance (nMr), cardiac evaluation and cerebral angiography examination results all patients were divided into two groups:small artery lesion group (45 cases) and vascular lesions (15 cases). on two groups of patients with fever acute phase serum d dimer and serum high-sensitivity c-reactive protein levels were determined, and the results are analyzed. Results the group of patients with small artery pathological changes of serum high-sensitivity c-reactive protein level was lower than that in group large vascular lesions, with signiifcant difference (P<0.05);small artery lesion group of patients with serum d dimer level slightly below the big vascular lesions group of patients, there was no signiifcant difference (P>0.05);light to moderate vascular stenosis in patients with serum D dimer level signiifcantly lower than the large blood vessel stenosis in patients with severe, with signiifcant difference (P<0.05). Conclusion Tiny embolism caused by inlfammation and plaque instability lead to artery lesions lead to light of the main causes of cerebral apoplexy.
