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急性脑梗死患者血清vWF的动态测定及临床研究
引用本文:畅慧君,张其相,卢红,赵建民. 急性脑梗死患者血清vWF的动态测定及临床研究[J]. 中国实用神经疾病杂志, 2009, 12(9)
作者姓名:畅慧君  张其相  卢红  赵建民
作者单位:河南新乡市中心医院,新乡,453000;新乡医学院第二附属医院神经内科,新乡,453003
摘    要:目的 动态观察急性脑梗死(ACI)患者血清血管性假血友病因子(vWF)的表达,并探讨其与神经功能缺损程度及年龄、性别等方面的相关性.方法 应用ELISA动态观察52例ACI患者血清vWF的变化,并与52例健康对照者对比,同时应用NIHSS进行神经功能缺损评分.结果 ACI患者血清vWF在发病后早期显著高于正常对照组(P<0.001).血清水平在发病后1~3d已经升高,5~7d达高峰,之后有所下降,15d后仍明显高于正常对照组.但发病后不同时间对比差异无统计学意义(P>0.05).发病3d内血清vWF浓度与当时及发病后15d临床神经功能缺损评分呈正相关.vWF的峰值浓度与患者的年龄、性别等方面均无相关性.结论 ACI早期存在血管内皮的损伤,vWF可判断发病时的血管内皮损伤状态及近期神经缺损程度.

关 键 词:急性脑梗死  vWF  神经功能缺损评分

Correlative study and serially assay of vWF in patients with acute cerebral infarction
Chang Huijun,Zhang Qixiang,Lu Hong,et al.. Correlative study and serially assay of vWF in patients with acute cerebral infarction[J]. Chinese Journal of Practical Neruous Diseases, 2009, 12(9)
Authors:Chang Huijun  Zhang Qixiang  Lu Hong  et al.
Affiliation:Chang Huijun,Zhang Qixiang,Lu Hong,et al.Xinxiang City Central Hospital,Xinxiang 453000,China
Abstract:Objective To study the serial changes of the expression of von Willebrand factor(vWF) concentrations in serum of patients with acute cerebral infarction(ACI),and to find the correlations with neurological deficits of ACI,sex and age etc.Methods The vWF concentrations were serially determined in 52 inpatients with ACI and 52 control subjects.Assays were performed by using enzyme linked immunosorbent assay(ELISA).At the same time the neurological deficits states were evaluated by the national institute of hea...
Keywords:vWF
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