徐炽天,胡文霞,陈生,梁正玲.急性脑梗死患者血清hs-CRP、CaM、miR-365的变化及临床意义.[J].中南医学科学杂志.,2023,(3):384-386, 394.
急性脑梗死患者血清hs-CRP、CaM、miR-365的变化及临床意义
The changes and clinical significance of serum hs-CRP, CaM and miR-365 in patients with ACI
投稿时间:2022-11-04  修订日期:2023-03-28
DOI:10.15972/j.cnki.43-1509/r.2023.03.016
中文关键词:  急性脑梗死  超敏C反应蛋白  钙调蛋白  miR-365 [
英文关键词:acute cerebral infarction  high sensitive C-reactive protein  calmodulin  miR-365
基金项目:安徽高校自然科学研究重点项目计划(KJ2017A247)
作者单位E-mail
徐炽天 六安市人民医院 安徽医科大学附属六安医院神经内科,安徽六安 237006 e-mail为xuchitian2006@163.com 
胡文霞 六安市人民医院 安徽医科大学附属六安医院神经内科,安徽六安 237006  
陈生 上海市公共卫生临床中心,上海 200093  
梁正玲 六安市人民医院 安徽医科大学附属六安医院神经内科,安徽六安 237006  
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中文摘要:
      目的探讨急性脑梗死(ACI)患者血清超敏C反应蛋白(hs-CRP)、钙调蛋白(CaM)、miR-365的变化及临床意义。 方法选取ACI患者100例为ACI组,同期体检健康者50例为对照组;ACI组根据神经缺损严重程度、预后分为轻中度组和重度组、预后不良组和预后良好组。比较各组血清hs-CRP、CaM、miR-365水平,并分析其与神经缺损严重程度的相关性和对预后的预测价值。 结果hs-CRP、CaM、miR-365水平ACI组高于对照组;重度组高于轻中度组;预后不良组高于预后良好组(P<0.05)。hs-CRP、CaM、miR-365水平与神经缺损严重程度呈正相关(P<0.05)。hs-CRP、CaM、miR-365联合预测ACI预后的诊断效能高于单独预测(P<0.05)。 结论ACI患者血清hs-CRP、CaM、miR-365水平升高,联合检测有助于ACI预后评估。
英文摘要:
      AimTo investigate the changes and clinical significance of serum high sensitive C-reactive protein (hs-CRP), calmodulin (CaM) and miR-365 in patients with acute cerebral infarction (ACI). MethodsOne hundred patients with ACI were selected as the ACI group and 50 healthy people with physical examination at the same period were the control group; the ACI group was divided into mild to moderate and severe groups, and poor prognosis and good prognosis groups according to the severity and prognosis of neurological deficits. The serum hs-CRP, CaM and miR-365 levels of each group were compared, and their correlation with the severity of neurological deficits and their predictive value for prognosis were analyzed. ResultsThe hs-CRP, CaM, and miR-365 levels were higher in the ACI group than in the control group; higher in the severe group than in the mild-to-moderate group; and higher in the poor prognosis group than in the good prognosis group (P<0.05); The levels of hs-CRP, CaM, and miR-365 were positively correlated with the severity of neurological deficits (P<0.05); The diagnostic efficacy of the combination of hs-CRP, CaM, and miR-365 in predicting ACI prognosis was higher than that of prediction alone (P<0.05). ConclusionSerum hs-CRP, CaM, and miR-365 are elevated at ACI levels, and the combined assay is useful for prognostic assessment of ACI.
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