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采用双抗夹心酶联免疫吸附试验(ELISA)测定了34 例急性脑梗塞患者发病后24 小时、72小时、1 周及2 周的血清可溶性细胞间粘附分子-1(sICAM-1)浓度。结果示发病1 周内sICAM-1浓度逐渐上升,于1 周时达高峰,2 周后明显下降。发病后72 小时sICAM-1 水平与脑梗塞体积呈正相关(P<0.01);但与病情严重程度无明显相关关系(P> 0.05)。认为sICAM-1 在急性脑梗塞病程中呈动态变化,sICAM-1 参与了脑梗塞的病理发展过程;血清sICAM-1 浓度可作为监测急性脑梗塞白细胞介导的脑损伤的一个指标,与脑梗塞体积呈正相关。
Serum soluble intercellular adhesion molecule-1 (sICAM-1) concentrations were measured at 24, 72, 1 and 2 weeks after onset in 34 patients with acute cerebral infarction using double-antibody sandwich enzyme-linked immunosorbent assay (ELISA) The results showed that the incidence of sICAM-1 concentration gradually increased within 1 week, peaked at 1 week, significantly decreased after 2 weeks. The level of sICAM-1 at 72 hours after onset was positively correlated with the volume of cerebral infarction (P <0.01). However, there was no significant correlation between the level of sICAM-1 and the severity of illness (P> 0.05). SICAM-1 is involved in the pathological process of cerebral infarction. The concentration of sICAM-1 in serum can be used as an index to monitor the white blood cell-mediated brain injury in acute cerebral infarction, The volume was positively correlated.