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探讨一氧化氮(NO)与TIA发作的关系。测定23例TIA患者TIA发作期和TIA发作后第3d血清中NO、超氧化物歧化酶(SOD)和丙二醛(MDA)含量。研究发现,TIA发作时NO、SOD含量显著降低(P<0.05),MDA含量显著增高(P<0.001);TIA发作后第3d,NO含量回升至正常水平(P>0.05),SOD含量增加但仍低于正常(P<0.005),而MDA含量持续高于正常(P<0.001)。结果表明,NO含量降低与TIA发作有关,TIA发作后缺血再灌注期NO可能参与组织损伤。本文提示,NO对TIA有防治作用,SOD能增强NO的治疗作用,TIA发作后宜积极抗氧化治疗。
To investigate the relationship between nitric oxide (NO) and the onset of TIA. The levels of NO, SOD and MDA in TIA of 23 TIA patients at the onset of TIA and the 3rd day after TIA were measured. The levels of NO and SOD were significantly decreased (P <0.05) and the content of MDA was significantly increased (P <0.001) at TIA onset. The content of NO was increased to the normal level on the 3rd day after TIA onset (P> 0.05 ), SOD content increased but remained below normal (P <0.005), while MDA content continued to be higher than normal (P <0.001). The results showed that the decrease of NO content was related to the onset of TIA. NO during ischemia / reperfusion period after TIA onset may be involved in tissue injury. This article suggests that NO has a preventive and therapeutic effect on TIA, SOD can enhance the therapeutic effect of NO, TIA should be actively anti-oxidative therapy after the attack.