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血浆NSE测定在中重度颅脑外伤中的应用
引用本文:林建虎,何学雄,陆川.血浆NSE测定在中重度颅脑外伤中的应用[J].温州医学院学报,2011,41(6):538-540.
作者姓名:林建虎  何学雄  陆川
作者单位:温州医学院定理临床学院,温州市第二人民医院,神经外科,浙江,温州,325000
基金项目:温州市医药卫生科研基金资助项目
摘    要:目的:探讨神经元特异性烯醇化酶(NSE)在中重度颅脑损伤病情判断及预后预测中的应用。方法:选取我院2009年5月至2010年5月中重度颅脑外伤住院患者96例,按照入院GCS评分分为中度组59例及重度组37例,设同期健康成人40例为对照组。抽取外伤后6 h、1 d、3 d、5 d、7 d的肘部静脉血,进行NSE测定。对96例患者进行为期3个月的随访,根据GOS评分分为预后良好组33例和预后不良组63例。采用方差分析比较各组NSE浓度差异。结果:中重度颅脑外伤患者NSE较对照组升高(P〈0.01),重度组较中度组更高(P〈0.01)。预后不良组NSE水平较预后良好组高(P〈0.01)。结论:血浆NSE水平可以反映脑损伤的程度。进行NSE含量的检测对脑损伤的病情评估和预后预测有一定的作用。

关 键 词:神经元特异性烯醇化酶  颅脑损伤  预后

Application of plasma NSE in moderate and severe craniocerebral trauma
LIN Jianhu,HE Xuexiong,LU Chuan.Application of plasma NSE in moderate and severe craniocerebral trauma[J].Journal of Wenzhou Medical College,2011,41(6):538-540.
Authors:LIN Jianhu  HE Xuexiong  LU Chuan
Institution:LIN Jianhu,HE Xuexiong,LU Chuan.Department of Neurosurgery,the Dingli Clinical Institute of Wenzhou Medical College,the Second People's Hospital of Wenzhou,Wenzhou,325000
Abstract:Objective: To explore the application of serum neuron specific enolase(NSE) on severity assessment and prognostic speculation of moderate and severe craniocerebral trauma.Methods: Ninety-six patients with moderate and severe TBI in our hospital from 2009.5 to 2010.5 were selected.And those who have tumor,severe cardiopulmonary insufficiency and stroke,craniocerebral trauma,myocardial infarction recently,and injured longer than 6 hours were removed.Serum samples for NSE analysis were obtained from an antecub...
Keywords:neuron specific enolase  traumatic brain injury  prognosis  
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