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目的 观察脑出血(CH)、脑梗死(CI)、蛛网膜下腔出血(SAH)患者血浆神经降压素(NT)水平改变及其动态变化。方法 选择CH组46例、CI组62例、SAH组30例,用放免法检测血浆NT浓度。结果CI组、CH组、SAH组NT水平均显著高于对照组,于发病后24小时内显著升高,1~3天或4~7天达高峰,8~15天开始下降,15天后仍在较高水平;随病情加重与病灶扩大显著升高;CI与CH伴高血糖组均显著高于正常血糖组,CH伴高血压组、伴消化道出血组显著高于正常血压组与无消化道出血组。SAH组伴DID组明显高于非DID组。结论 NT分泌异常参与了CI、CH、SAH的病理生理过程。
Objective To observe the changes of plasma neurotensin (NT) levels and their dynamic changes in patients with cerebral hemorrhage (CH), cerebral infarction (CI) and subarachnoid hemorrhage (SAH). Methods 46 cases of CH group, 62 cases of CI group, 30 cases of SAH group, the plasma concentration of NT was detected by radioimmunoassay. Results The levels of NT in CI group, CH group and SAH group were significantly higher than those in control group, significantly increased within 24 hours after onset, peaked at 1-3 days or 4-7 days, decreased at 8-15 days and remained unchanged after 15 days At the higher level; with the increase of the disease and the lesions enlarged significantly; CI and CH with hyperglycemia were significantly higher than the normal blood glucose group, CH with hypertension group, with gastrointestinal bleeding group was significantly higher than the normotensive group and without digestion Road bleeding group. SAH group with DID group was significantly higher than non-DID group. Conclusion Abnormal NT secretion is involved in the pathophysiological processes of CI, CH and SAH.