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目的:观察紫外线照射充氧自血回输(UBI)对脑梗塞患者血浆内皮素(ET)的影响。方法:应用放射免疫分析法测定32例脑梗塞患者应用紫外线照射充氧自血回输疗法前、后血浆内皮素的含量,并与20例未应用UBI疗法的脑梗塞患者及30例健康人的血浆ET含量进行对照观察。结果:用与未用UBI疗法的脑梗塞患者急性期血浆ET含量均显著升高,二者相比无显著性差异(P>0.05)。但与正常对照组相比,均有显著性差异(P<0.01)。治疗14d后,两组患者血浆ET含量均有显著下降,但UBI组ET下降更明显,与非UBI组相比,差异显著(P<0.01)。结论:UBI有降低ET的作用,其对ET的影响,可能是其治疗脑梗塞的诸多机理之一。
Objective: To observe the effect of UBI on plasma endothelin (ET) in patients with cerebral infarction. Methods: The content of plasma endothelin in 32 patients with cerebral infarction before and after autologous blood oxygenation was measured by radioimmunoassay, and compared with 20 patients with cerebral infarction without UBI and 30 healthy people Plasma ET levels were compared. Results: The levels of plasma ET in acute cerebral infarction patients with and without UBI therapy were significantly increased, there was no significant difference (P> 0.05). However, compared with the normal control group, there was a significant difference (P <0.01). After 14 days of treatment, the levels of plasma ET decreased significantly in both groups, but ET decreased more significantly in UBI group than in non-UBI group (P <0.01). Conclusion: UBI has the effect of lowering ET, and its effect on ET may be one of its mechanisms for the treatment of cerebral infarction.