文章摘要
木亚斯沙尔王英帕里·加帕尔张玲董俊杰.老年急性脑梗塞患者血清TNF-α 和IL-6 水平的变化及其临床意义[J].,2012,12(27):5327-5329
老年急性脑梗塞患者血清TNF-α 和IL-6 水平的变化及其临床意义
The Serum TNF-α and IL-6 Level Changes and its Clinical Significancein the Elderly Patients with Acute Cerebral Infarction
  
DOI:
中文关键词: 老年  急性脑梗塞  TNF-α  IL-6  临床意义
英文关键词: The elderly  Acute cerebral infarction  TNF-alpha  IL-6  Clinical significance
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作者单位
木亚斯沙尔王英帕里·加帕尔张玲董俊杰 新疆省乌鲁木齐市自治区人民医院干保三科 
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中文摘要:
      目的:观察老年急性脑梗塞(ACI)患者血清TNF-α 和IL-6 水平的变化并探讨其临床意义。方法:选择老年ACI 患者53 例, 观察以上入选患者入院后第7d、第9d 和第11d 血清TNF-α 和IL-6 水平的变化,并与26 例健康人对照;同时分析53 例老年ACI 患者血清TNF-α 和IL-6 水平与患者脑梗塞面积及神经功能缺损评分的Spearman 等级相关性。结果:老年ACI 患者血清TNF-α 和IL-6 水平显著高于健康人(P<0.01);随着治疗的进展与病情的稳定及恢复,患者血清TNF-α 和IL-6 水平随之显著下降(P< 0.05);同时患者血清TNF-α 和IL-6 水平与病变的严重程度呈正相关性(P<0.05);治疗11d 后血清TNF-α 和IL-6 降低量与病变 的严重程度呈正相关性(P<0.05)。结论:在老年ACI 患者治疗过程中,应进行血清TNF-α 和IL-6 水平的动态监测,可提示病变 的发生发展并指导临床治疗。
英文摘要:
      Objective: To observe the serum TNF-α and IL-6 level changes and discuss its clinical significance in the elderly patients with acute cerebral infarction. Methods: Collect 53 elderly patients with acute cerebral infarction, observe the serum TNF-α and IL-6 level changes the 7th day, the 9th day and the 11th day after admission and compare with 26 healthy people;analysis the correlation analysis of serum TNF-α and IL-6 levels with disease severity. Results: The elderly patients' TNF-α and IL-6 level were statistical higher than the healthy people's(P<0.01); the serum TNF-α and IL-6 levels significantly decreased (P <0.05) with the progress of treatment;the aerum TNF-α and IL-6 levels were positively correlated (P <0.05) with the disease severity, the aerum TNF-α and IL-6 levels' reduction were positively correlated (P <0.05) with the disease severity after 11days' treatment. Conclusion: In the course of treating elderly patients with ACI,we should dynamic monitor the serum TNF-α and IL-6 levels,it could prompt the development of the lesions and guide the clinical treatment.
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