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急性颅脑损伤患者脑脊液中髓鞘碱蛋白的变化及其意义
引用本文:徐育林,杨新宇,杨树源,王明璐.急性颅脑损伤患者脑脊液中髓鞘碱蛋白的变化及其意义[J].华夏医学,1999(3).
作者姓名:徐育林  杨新宇  杨树源  王明璐
作者单位:桂林市第二人民医院外二科,天津医科大学总医院神经外科
摘    要:目的:为探讨急性颅脑损伤患者脑脊液(CSF)中髓鞘碱蛋白(MBP)的变化及意义。方法:用放射免疫分析法测定34例急性颅脑损伤组患者CSF中MBP。结果:CSF中MBP在急性颅脑损伤组明显高于对照组(P<0.01),在ADCI患者明显高于ALCI患者(P<0.01);ADCI患者入院时GCS明显低于ALCI患者,而GOS明显差于ALCI患者(P<0.01);MBP与GCS和GOS均呈明显负相关(r=-0.612,r=-0.598,P<0.01)。结论:急性颅脑损伤患者CSF中MBP升高,测定CSF中MBP有助于估计急性颅脑损伤患者病情轻重及预后;有助于ADCI的诊断。

关 键 词:急性颅脑损伤  脑脊液  髓鞘碱蛋白

The Significance and Change of the Cerebrospinal Fluid Myelin Basic Protein for Acute Craniocerebral Injure
Xu Yulin,Yang Xinyu,Yang Shuyuan,et al..The Significance and Change of the Cerebrospinal Fluid Myelin Basic Protein for Acute Craniocerebral Injure[J].Acta Medicinae Sinica,1999(3).
Authors:Xu Yulin  Yang Xinyu  Yang Shuyuan  
Institution:Xu Yulin,Yang Xinyu,Yang Shuyuan,et al.//Department of surgery Guilin second hospital,Guilin Guangxi 541001
Abstract:Objective:To study the change of Cerebrospinal fluid(CSF) Myelin Basic protein(MBP) for acute craniocerebral injure.Methods:MBP of 34 cases acute craniocerebral injure was determined by radioimmunity assay.Results:MBP of acute craniocerebral injure was clearly higher than those of control (P<0.01);MBP of acute diffuse craniocerebral injure (ADCI) was higher than those of acute local craniocerebral injure (ALCI) (P<0.01); Glasgow coma scale (GCS) of ADCI was lower than those of ALCI and GOS of ADCI was lower than those of ALCI (P<0.01);MBP of acute craniocerebral injure was negatively correlated with GCS and GOS (r=-0.612,r=-0.598,P<0.01). Conclusion:MBP of acute craniocerebral injure was higher than those of controls,it plays an important role in estimation and prognosis of acute craniocerebral injure by determining MBP,also in diagnosis of ADCI.
Keywords:acute craniocerebral injure  Cerebrospinal fluid  myelin basic protein
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