急性缺血性脑梗死患者CD62p、CD63及血小板活化因子表达水平与临床预后的关系

Analysis of the relationships between CD62p, CD63 as well as platelet activating factor expression and clinical prognosis in patients with acute ischemic cerebral infarction

  • 摘要:
      目的  探讨急性缺血性脑梗死(AICI)患者CD62p、CD63及血小板活化因子(PAF)表达水平与其临床预后的关系。
      方法  选择在本院接受治疗的AICI患者200例为观察组,根据预后情况分为预后良好组175例与预后不良组25例。根据出院后90 d内存活情况,将观察组患者分为死亡组32例与存活组168例。选取50例健康人群作为对照组。分析CD62p、CD63及PAF与患者预后的相关性。
      结果  观察组患者CD62p、CD63及PAF水平均高于对照组,差异有统计学意义(P < 0.05)。死亡组脑梗死患者血清CD62p、CD63及PAF水平均高于存活组,差异有统计学意义(P < 0.05)。预后不良组脑梗死患者血清CD62p、CD63及PAF水平均高于预后良好组,差异有统计学意义(P < 0.05)。
      结论  AICI患者的CD62p、CD63及PAF表达水平升高,检测这3项指标水平有助于评估患者临床预后情况。

     

    Abstract:
      Objective  To investigate the relationships between CD62p, CD63 as well as platelet activating factor (PAF) expression and clinical prognosis in patients with acute ischemic cerebral infarction (AICI).
      Methods  Two hundred AICI patients treated in our hospital were selected as observation group, and they were divided into good prognosis group (175 cases) and poor prognosis group (25 cases) according to their prognosis. According to the survival within 90 days after discharge, the observation group was divided into death group (n=32) and survival group(n=168). Fifty healthy people were selected as the control group. The correlations between CD62p, CD63, PAF and prognosis of patients was analyzed.
      Results  The levels of CD62p, CD63 and PAF in the observation group were significantly higher than those in the control group (P < 0.05). The levels of CD62p, CD63 and PAF in patients with cerebral infarction in the death group were significantly higher than those in the survival group (P < 0.05). The levels of CD62p, CD63 and PAF in patients with cerebral infarction in the poor prognosis group were significantly higher than those in the good prognosis group (P < 0.05).
      Conclusion  The expression levels of CD62p, CD63 and PAF increase in AICI patients, and detection of these three indicators is helpful to evaluate the clinical prognosis of patients.

     

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