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同型半胱氨酸、高敏C反应蛋白及D-二聚体在血管性痴呆患者中的临床研究

Clinical research of homocysteine, high-sensitive C-reactive protein and D-Dimer in patients with vascular dementia.

作者信息

Zhang Li, Liu Na, Zhang Jinying, Zhang Hui, Zhang Ying

机构信息

Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.

Department of Cardiothoracic Surgery, Xinxiang Central Hospital, Xinxiang City, Henan Province, China.

出版信息

Pak J Pharm Sci. 2017 Jul;30(4(Suppl.)):1445-1447.

Abstract

Aim of the present research work was to study the relationship between the degree of dementia and the serum levels of homocysteine(Hcy), high-sensitive C-reactive protein(hs-CRP), D-Dimer and vascular dementia(VaD) of patients, and to investigate the mechanism of Hcy, hs-CRP and D-Dimer in the vascular dementia. Subjects were divided into normal group and VaD group. CRP and D-Dimer protein of each sample were detected by nephelometry method, and the serum Hcy level was detected by Fluorescent labeling immunoassay method. Compared with the normal control group, Hcy, hs-CRP and D-Dimer in VaD group were significantly higher than that of control group, and the difference was statistically significant. Linear correlation analysis showed a negative association between Hs-CRP, Hcy and MMSE score. There was no correlation between the levels of D-Dimer and the MMSE score. Hcy, hs-CRP and D-Dimer are involved in the pathogenesis of vascular dementia (VAD), There is a significant correlation between the severity of vascular dementia and Hcy and Hs-CRP.

摘要

本研究工作的目的是探讨痴呆程度与患者血清同型半胱氨酸(Hcy)、高敏C反应蛋白(hs-CRP)、D-二聚体水平及血管性痴呆(VaD)之间的关系,并研究Hcy、hs-CRP和D-二聚体在血管性痴呆中的作用机制。将研究对象分为正常组和VaD组。采用散射比浊法检测各样本的CRP和D-二聚体蛋白,采用荧光标记免疫分析法检测血清Hcy水平。与正常对照组相比,VaD组的Hcy、hs-CRP和D-二聚体明显高于对照组,差异有统计学意义。线性相关分析显示Hs-CRP、Hcy与MMSE评分呈负相关。D-二聚体水平与MMSE评分之间无相关性。Hcy、hs-CRP和D-二聚体参与血管性痴呆(VAD)的发病机制,血管性痴呆的严重程度与Hcy和Hs-CRP之间存在显著相关性。

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