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急性脑梗死患者血清S100B蛋白检测的临床意义
引用本文:江秀龙,张旭. 急性脑梗死患者血清S100B蛋白检测的临床意义[J]. 福建医药杂志, 2009, 31(6): 95-96
作者姓名:江秀龙  张旭
作者单位:福建省立医院神经内科,350001
摘    要:
目的探讨急性脑梗死患者血清S100B蛋白水平的变化及其对重症脑梗死的预测作用。方法选择发病24h内、符合入选条件的急性脑梗死患者65例(有18例发展成重症脑梗死),以同期体检者30例作为对照组。用ELISA法测定血清S100B蛋白浓度,同时对患者作神经功能缺损评分(NIHSS),所有患者依据发病后48~72h的脑CT或MRI扫描结果计算脑梗死体积。应用受试者工作曲线(ROC曲线)寻找预测重症脑梗死发生相应的S100g蛋白最佳临界值。结果重症脑梗死患者24h血清S100B蛋白值明显高于非重症患者(P〈0.05)。发病24hS100B蛋白测定值〉1.1μg/I,为最佳临界值,预测重症脑梗死的敏感度为94%,特异度为85%。结论检测急性脑梗死患者血清S100B蛋白可作勾预测重症脑梗死发生的参考指标。

关 键 词:急性脑梗死  重症脑梗死  S100B蛋白

Serum S100B protein predicts a malignant course of patients with acute cerebral infarction
Jiang Xiulong,Zhang Xu. Serum S100B protein predicts a malignant course of patients with acute cerebral infarction[J]. Fujian Medical Journal, 2009, 31(6): 95-96
Authors:Jiang Xiulong  Zhang Xu
Affiliation:Jiang Xiulong,Zhang Xu.Department of Neurology,Fujian Provincial Hospital,Fuzhou 350001,China
Abstract:
Objective To investigate whether measurements of serum astroglial protein S100B can predict a malignant course of acute cerebral infarction(ACI).Methods There were 65 patients(29 women)admitted within 24-hours after ACI.Eighteen patients developed malignant infarction.A total of 30 healthy subjects were selected as control group at the same time.Blood samples were drawn at 24-hours after symptom onset.Serum S100B protein concentrations were determined by ELISA.The sensitivity and specificity of S100B protei...
Keywords:Acute cerebral infarction  Malignant infarction  S100B protein  
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