检验医学 ›› 2014, Vol. 29 ›› Issue (10): 1028-1030.DOI: 10.3969/j.issn.1673-8640.2014.10.010

• 临床应用研究·论著 • 上一篇    下一篇

同型半胱氨酸及血管内皮功能检测在脑梗死中的应用

李媛媛, 王琪   

  1. 开封市第二人民医院检验科,河南 开封 475002
  • 收稿日期:2014-02-18 出版日期:2014-10-30 发布日期:2014-10-22
  • 作者简介:李媛媛,女,1973年出生,学士,副主任技师,主要从事临床检验工作。

Clinical application of homocysteine and vascular endothelial function determinations in cerebral infarction

LI Yuanyuan, WANG Qi.   

  1. Department of Clinical Laboratory, the Second People's Hospital of Kaifeng, Henan Kaifeng 475002, China
  • Received:2014-02-18 Online:2014-10-30 Published:2014-10-22

摘要: 目的 观察脑梗死患者血清同型半胱氨酸(Hcy)、血管内皮功能指标[ 内皮素(ET-1)、一氧化氮(NO)、血管内皮生长因子(VEGF)]的变化,探讨其与脑梗死的关系及临床应用价值。方法 分别检测 90例脑梗死患者(脑梗死组)及80名体检健康者(正常对照组)血清Hcy、NO、ET-1及VEGF水平,计算异常检出率并进行分析比较。结果 与正常对照组比较,脑梗死组血清Hcy、ET-1、VEGF水平明显升高(P<0.05),NO水平明显降低(P<0.05)。脑梗死组血清Hcy、NO、ET-1及VEGF的异常检出率明显高于正常对照组(P<0.05)。结论 Hcy及血管内皮功能指标与脑梗死有一定的关系。

关键词: 同型半胱氨酸, 一氧化氮, 内皮素, 血管内皮生长因子, 脑梗死

Abstract: Objective To observe serum homocysteine (Hcy) and vascular endothelial function parameters such as endothelin-1(ET-1), nitric oxide(NO)and vascular endothelial growth factor(VEGF) in cerebral infarction patients, and to investigate the relationship with cerebral infarction and the clinical application significance. Methods The levels of serum Hcy, NO, ET-1 and VEGF were determined in 90 patients with cerebral infarction (cerebral infarction group) and 80 healthy subjects (healthy control group). The abnormal determination rate was calculated, and the results were analyzed comparatively. Resutls The levels of serum Hcy, ET-1 and VEGF increased significantly in cerebral infarction group compared with those in healthy control group(P<0.05), but NO level decreased significantly (P<0.05). The abnormal determination rates of serum Hcy, NO, ET-1 and VEGF in cerebral infarction group were higher than those in healthy control group (P<0.05). Conclusions Hcy and vascular endothelial function parameters are related to cerebral infarction.

Key words: Homocysteine, Nitric oxide, Endothelin-1, Vascular endothelial growth factor, Cerebral infarction

中图分类号: