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血清锌水平升高:伊朗北部巴博勒中风患者的新线索。

Increased Zinc Serum Level: New Clues in Babol Stroke Patients, Northern Iran.

作者信息

Ahmadi Ahangar Alijan, Saadat Payam, Niroomand Sona, Alijanpour Shayan, Sohrabnezhad Reza, Firozejahi Alireza, Biani Mohamad Ali, Arab Fatemeh, Hosseinzadeh Hamed, Faraji Sekine, Niroomand Jalal

机构信息

Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran.

Department of Chemistry, Payame Noor University, Tehran, Iran.

出版信息

Stroke Res Treat. 2018 Feb 27;2018:7681682. doi: 10.1155/2018/7681682. eCollection 2018.

Abstract

BACKGROUND

Stroke is the second leading cause of death worldwide. The role of zinc as a new predictor of stroke was considered.

METHODS

This prospective study was conducted in Ayatollah Rouhani Hospital within a year on 100 stroke and 100 control patients.

FINDINGS

The difference in zinc serum level in two groups was significant (deficiency: 3 (3%) in patients versus 20 (20%) in control group, normal: 25 (25%) versus 54 (54%), and increased level: 72 (72%) versus 26 (26%); < 0.001). Difference in zinc serum levels was statistically significant with ischemic heart disease (deficiency: 0 cases (0%), normal: 8 cases (24%), increased level: 24 cases (75%), = 0.003). Increases in zinc serum level were significantly correlated with the frequency of hemorrhagic and ischemic patients (deficiency: 3 (3.3%) hemorrhagic versus 0 (0%) ischemic; normal: 19 (21%) versus 6 (60%), increased level: 68 (75.6%) versus 4 (40%); = 0.025). Regression logistics showed that ischemic heart disease ( < 0.001; OR = 28.29, %95 CI: 5.53; 144.87), hyperlipidemia ( < 0.001; OR = 0.26, %95 CI: 0.12; 0.56), and zinc serum level ( < 0.001, OR = 15.53, %95 CI: 4.03; 59.83) each had a significant role.

CONCLUSIONS

Babol stroke patients are prone to increased zinc serum level as a new parameter. Ischemic heart disease, increased levels of zinc, and hyperlipidemia were found to be probable predictor factors for stroke in Babol.

摘要

背景

中风是全球第二大致死原因。锌作为中风新预测指标的作用受到关注。

方法

本前瞻性研究在阿亚图拉·鲁哈尼医院开展,为期一年,纳入100例中风患者和100例对照患者。

研究结果

两组血清锌水平差异显著(缺乏:患者组3例(3%),对照组20例(20%);正常:患者组25例(25%),对照组54例(54%);升高:患者组72例(72%),对照组26例(26%);P<0.001)。血清锌水平与缺血性心脏病差异有统计学意义(缺乏:0例(0%),正常:8例(24%),升高:24例(75%),P = 0.003)。血清锌水平升高与出血性和缺血性患者的频率显著相关(缺乏:出血性3例(3.3%),缺血性0例(0%);正常:19例(21%),缺血性6例(60%);升高:出血性68例(75.6%),缺血性4例(40%);P = 0.025)。回归逻辑分析显示,缺血性心脏病(P<0.001;OR = 28.29,95%CI:5.53;144.87)、高脂血症(P<0.001;OR = 0.26,95%CI:0.12;0.56)和血清锌水平(P<0.001,OR = 15.53,95%CI:4.03;59.83)均有显著作用。

结论

作为一个新参数,巴博尔中风患者血清锌水平易于升高。缺血性心脏病、锌水平升高和高脂血症被发现可能是巴博尔中风的预测因素。

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