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血清 pentraxin 3 对脑出血死亡率的预后价值。

Prognostic value of serum pentraxin 3 for intracerebral hemorrhage mortality.

机构信息

Department of Neurosurgery, Xi'an International Medical Center Hospital, 710100 Xi'an, P. R. China.

Clinical Laboratory Center, Xi'an Fourth Hospital, 710104 Xi'an, P. R. China.

出版信息

J Integr Neurosci. 2021 Mar 30;20(1):137-142. doi: 10.31083/j.jin.2021.01.228.

Abstract

Pentraxin 3 is considered an important inflammatory marker is known to increase in patients with ischemic stroke, but the relationship between pentraxin 3 and intracerebral hemorrhage mortality is unclear. The purpose of this study is to investigate the level of pentraxin 3 in serum and its impact on prognosis in 307 patients with intracerebral hemorrhage. During the 5-year follow-up, the mortality rate of patients with intracerebral hemorrhage was 22.5%. The serum pentraxin 3 level of the brain-dead patients was higher than that of the control group ( < 0.05). Logistic regression analysis indicated a high correlation between the pentraxin 3 level and the mortality rate 95% (hazard ratio: 3.671; confidence interval: 1.558-4.297). The receiver operating characteristic curve showed that pentraxin 3 (Area Under Curve = 0.801) had a higher diagnostic value than C-reactive protein (Area Under Curve = 0.701). The pentraxin 3 level increased significantly after intracerebral hemorrhage and has an important predictive value for a prognosis for intracerebral hemorrhage mortality.

摘要

血清 pentraxin 3 水平与脑出血死亡率的关系

五聚素 3 被认为是一种重要的炎症标志物,已知在缺血性脑卒中患者中会升高,但五聚素 3 与脑出血死亡率之间的关系尚不清楚。本研究旨在探讨 307 例脑出血患者血清 pentraxin 3 水平及其对预后的影响。在 5 年的随访期间,脑出血患者的死亡率为 22.5%。脑死亡患者的血清 pentraxin 3 水平高于对照组(<0.05)。Logistic 回归分析表明,pentraxin 3 水平与死亡率之间存在高度相关性(95%置信区间:3.671;1.558-4.297)。受试者工作特征曲线显示 pentraxin 3(曲线下面积=0.801)比 C 反应蛋白(曲线下面积=0.701)具有更高的诊断价值。脑出血后 pentraxin 3 水平显著升高,对脑出血死亡率的预后具有重要的预测价值。

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