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ACI患者治疗前后血浆ET-1与血清ANF、BNP和TXB_2检测的临床意义
引用本文:李锐,孙庆荣,排立平,张皓.ACI患者治疗前后血浆ET-1与血清ANF、BNP和TXB_2检测的临床意义[J].放射免疫学杂志,2010,23(3):280-282.
作者姓名:李锐  孙庆荣  排立平  张皓
作者单位:沈阳市第五人民医院检验科,110023
摘    要:目的:探讨了急性脑梗死(ACI)患者治疗前后血浆ET-1和血清ANF、BNP和TXB2水平的变化及临床意义。方法:应用放射免疫分析对33例ACI患者进行了治疗前后血浆ET-1和血清ANF、BNP和TXB2检测,并与35名正常人作比较。结果:ACI患者在治疗前血浆ET-1、血清ANF、BNP和TXB2水平均非常显著地高于正常人组(P〈0.01),经治疗后3个月与正常人组比较仍有差异(P〈0.05)。结论:检测ACI患者治疗前后血浆ET-1和血清ANF、BNP和TXB2水平的变化对疗效观察、预后判断均具有重要的临床价值。

关 键 词:急性脑梗死  内皮素  脑钠肽  心钠素  血栓素-B2

Clinical Significance of Determination of Changes of Plasma ET-1 and Serum ANF, BNP, TXB2 Levels After Treatment in Patients with Acute Cerebral Infarction
Institution:Li Rui,Sun Qing-rong,Pai Li-ping,et al.Department of Laboratory,Shenyang Fifth People's Hospital,Shenyang(110023),China
Abstract:Objective To study the clinical significance of changes of plasma ET-1 and serum ANF,BNP,TXB2 levels after treatment in patients with acute cerebral infarction.Methods Plasma ET-1 and serum ANF,BNP,TXB2 levels were determined with RIA in 33 patients with acute cerebral infarction both before and after treatment as well as in 35 controls.Results Before treatment,the plasma ET-1 and serum ANF,BNP,TXB2 levels were significantly higher in the patients than those in controls(P0.01).3 months' after treatment,the levels dropped markedly but still remained significantly higher(P0.05).Conclusion Plasma ET-1 and serum ANF,BNP,TXB2 levels were closely related to the diseases process of acute cerebral infarction and were of prognostic values.
Keywords:acute cerebral infarction  endothelin-1(ET-1)  brain natriuretic peptide(BNP)  atrial natriuretic factor(ANF)  thromboxane B2(TXB2)
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