[1]刘浪.急性脑梗死患者颈动脉硬化程度与血清Galectin-3表达水平的关系及阿托伐他汀钙的干预作用[J].卒中与神经疾病杂志,2017,24(05):420-422+426.[doi:10.3969/j.issn.1007-0478.2017.05.009]
 Liu Lang..The analysis of the relationship between carotid atherosclerosis and serum Galectin-3 level in patients with acute cerebral infarction and the intervention effect of atorvastatin calcium[J].Stroke and Nervous Diseases,2017,24(05):420-422+426.[doi:10.3969/j.issn.1007-0478.2017.05.009]
点击复制

急性脑梗死患者颈动脉硬化程度与血清Galectin-3表达水平的关系及阿托伐他汀钙的干预作用()
分享到:

《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第24卷
期数:
2017年05期
页码:
420-422+426
栏目:
论 著
出版日期:
2017-10-26

文章信息/Info

Title:
The analysis of the relationship between carotid atherosclerosis and serum Galectin-3 level in patients with acute cerebral infarction and the intervention effect of atorvastatin calcium
文章编号:
1007-0478(2017)05-0420-04
作者:
刘浪
437000 湖北咸宁湖北科技学院附属第二医院
Author(s):
Liu Lang.
Departhent of Neurology,The Second Afficated Hospital of Hubei University of Science and Technology,Xian Ning 437100
关键词:
急性脑梗死 颈动脉硬化 血清Galectin-3 阿托伐他汀钙
Keywords:
Acute cerebral infarction Carotid atherosclerosis Serum Galectin-3 Atorvastatin calcium
分类号:
R743.32
DOI:
10.3969/j.issn.1007-0478.2017.05.009
摘要:
目的 探讨急性脑梗死患者颈动脉硬化程度与血清半乳凝集素-3(Galectin-3)表达水平的关系及阿托伐他汀钙的干预作用。方法 选取本院2013年12月~2015年12月急性脑梗死患者92例,抽签随机分为观察组与对照组,每组各46例,给予对照组患者基础治疗,观察组患者在对照组治疗基础上加用阿托伐他汀钙治疗,分析急性脑梗死患者颈动脉硬化程度与血清Galectin-3表达的关系,比较观察组与对照组患者治疗前后血脂、血清炎性因子、血清Galectin-3水平及欧洲卒中量表(ESS)、日常生活量表(BI)评分。结果 急性脑梗死患者颈动脉硬化程度越严重,血清Galectin-3水平越高(P<0.05); 治疗后观察组患者各项血脂、血清炎性因子及Galectin-3水平均较对照组显著较低(P<0.05); 观察组治疗后ESS及BI评分较对照组显著增高(P<0.05)。结论 血清Galectin-3水平与急性脑梗死患者颈动脉硬化程度有关,给予患者阿托伐他汀钙治疗能显著改善血脂水平,降低炎性因子水平,且生活质量得到提高。
Abstract:
ObjectiveTo study the relationship between carotid atherosclerosis and serum Galectin-3 level in patients with acute cerebral infarction and the intervention effect of atorvastatin calcium.Methods From December 2013 to December 2015,92 patients with acute cerebral infarction in our hospital were randomly divided into the observation group and the control group,there were 46 cases in each group.The control group was given basic treatment,while the observation group was additionally treated with atorvastatin calcium.The relationship between the severity of carotid atherosclerosis and the expression of serum Galectin-3 in patients with acute cerebral infarction was explored.The blood lipids,serum inflammatory factors,serum Galectin-3 level,scores of European Stroke Scale(ESS)and Barthel index(BI)were compared between the two groups before and after treatment.Results The more serious carotid atherosclerosis was in patients with acute cerebral infarction,the higher the serum Galectin-3 level was(P<0.05).After treatment,the levels of blood lipids,the levels of serum inflammatory factors and serum Galectin-3 in the observation group were significantly lower than those in the control group(all P<0.05),while ESS and BI scores were significantly higher than those in the control group(P<0.05).Conclusion The level of serum Galectin-3 was positively correlated with the severity of carotid atherosclerosis in patients with acute cerebral infarction.The application of atorvastatin calcium could significantly improve the levels of blood lipids,reduce the levels of inflammatory factors,and improve the quality of life of patients.

参考文献/References:

[1] 申亚巍,王玉芬,张丽芳,等.急性脑梗死患者颅内与颅外动脉粥样硬化的相关性分析[J].中国全科医学,2012,15(30):3473-3475.
[2] 谷化平,尚培中.半乳糖凝集素-3和表皮生长因子受体蛋白表达与老年胃癌转移和预后的关系[J].解放军医药杂志,2012,24(3):21-24.
[3] 罗立,黄怡,翦林昊.半乳糖凝集素-3和高敏肌钙蛋白-T 检测对慢性心力衰竭的临床价值[J].医学临床研究,2015,32(6):1165-1167,1168.
[4] 何琳琳,杜文华,李毅,等.大剂量阿托伐他汀对ACI神经功能恢复及复发率的影响[J].西南国防医药,2014,24(5):481-483.
[5] 吉凤,徐小林.三种他汀类药物治疗老年动脉粥样硬化性急性脑梗死合并高血脂效果对比观察[J].山东医药,2014,54(28):50-52.
[6] 李召晨,杜瑞艳,王洪娟,等.颈动脉粥样硬化与急性脑梗死关系的研究[J].中国现代医学杂志,2013,23(6):89-93.
[7] 孙利强,陈杰,李恩,等.急性冠脉综合征患者血清半乳糖凝集素-3和 C反应蛋白水平的变化[J].郑州大学学报(医学版),2014,49(3):397-400.
[8] 张育民,李庆宽,全勇,等.急性心肌梗死患者血清半乳糖凝集素3水平与冠状动脉病变的相关性[J].中国动脉硬化杂志,2014,22(6):591-594.
[9] 赵雪艳.阿托伐他汀钙对老年急性脑梗死患者血清炎性因子及神经功能的影响[J].中国老年学杂志,2015,35(23):6788-6790.
[10] 朱风俊,贾东佩,张群英.阿托伐他汀钙对脑梗死的治疗作用及对Hs-CRP、IL-6、TNF-α炎症因子的影响[J].中国现代医学杂志,2014,24(20):81-84.

更新日期/Last Update: 2017-10-20