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sLOX-1 在颅内动脉狭窄及急性缺血性脑卒中患者长期预后预测中的作用

Role of sLOX-1 in intracranial artery stenosis and in predicting long-term prognosis of acute ischemic stroke.

机构信息

Department of Neurology First Affiliated Hospital of Wenzhou Medical University Wenzhou China.

Department of Neurology Yangpu Hospital of Tongji University Shang Hai China.

出版信息

Brain Behav. 2017 Dec 13;8(1):e00879. doi: 10.1002/brb3.879. eCollection 2018 Jan.

Abstract

OBJECTIVE

The role of sLOX-1 in acute ischemic stroke still remains unclear. This study aims to demonstrate the value of sLOX-1 in evaluating degrees of intracranial artery stenosis and to predict prognosis in stroke.

METHODS

Two hundred and seventy-two patients were included in this study and basic data were collected within 72 hr on admission. We assessed the association between sLOX-1 levels and stroke conditions in one-year duration. After adjusting for potential confounders, regression analyses were performed.

RESULTS

We found that sLOX-1 levels were increased significantly in severe patients compared to the mild stroke group (= .011). After adjusting confounders, sLOX-1 was associated with a poor functional outcome in patients with an adjusted OR of 2. 946 (95% CI, 1.788-4.856,  < .001). There was also positive correlation between sLOX-1 levels and the degrees of intracranial artery stenosis in the different groups ( = .029).

CONCLUSIONS

Our study demonstrated that sLOX-1 levels could be used to evaluate the severity of stroke and the degrees of intracranial artery stenosis. Furthermore, sLOX-1 could be exploited to predict the long-term functional outcome of stroke.

摘要

目的

sLOX-1 在急性缺血性脑卒中中的作用尚不清楚。本研究旨在探讨 sLOX-1 在评估颅内动脉狭窄程度和预测脑卒中预后中的价值。

方法

本研究纳入了 272 例患者,并在入院后 72 小时内收集了基本数据。我们评估了 sLOX-1 水平与一年内脑卒中状况之间的相关性。在调整了潜在混杂因素后,进行了回归分析。

结果

我们发现,与轻度脑卒中组相比,重度脑卒中组患者的 sLOX-1 水平显著升高(=0.011)。在调整混杂因素后,sLOX-1 与患者的不良功能结局相关,调整后的 OR 为 2.946(95%CI,1.788-4.856,<0.001)。sLOX-1 水平与不同组颅内动脉狭窄程度之间也存在正相关(=0.029)。

结论

本研究表明,sLOX-1 水平可用于评估脑卒中的严重程度和颅内动脉狭窄程度。此外,sLOX-1 可用于预测脑卒中的长期功能结局。

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