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血清血管内皮生长因子和皮质醇表达对高血压脑出血患者预后的预测作用

Serum vascular endothelial growth factor and cortisol expression to predict prognosis of patients with hypertensive cerebral hemorrhage.

作者信息

Zhang Chao-Yong, Wang Bin, Hua Xiang-Ting, Fan Kui, Li Yu-Feng

机构信息

Department of Neurosurgery, Taihe Hospital Affiliated to Wannan Medical College, Taihe County People's Hospital, Fuyang 236600, Anhui Province, China.

Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230000, Anhui Province, China.

出版信息

World J Clin Cases. 2023 Aug 16;11(23):5455-5461. doi: 10.12998/wjcc.v11.i23.5455.

Abstract

BACKGROUND

Cerebral hemorrhage is a common and severe complication of hypertension in middle-aged and elderly men.

AIM

To investigate the correlation between vascular endothelial growth factor (VEGF) and cortisol (Cor) and the prognosis of patients with hypertensive cerebral hemorrhage.

METHODS

A hundred patients with hypertensive intracerebral hemorrhage were enrolled from January 2020 to December 2022 and assigned to the hypertensive intracerebral hemorrhage group. Another 100 healthy people who were examined at our hospital during the same period were selected and assigned to the healthy group. Peripheral venous blood was collected, and serum Cor and VGEF levels were measured through enzyme linked immunosorbent assay.

RESULTS

A statistically significant difference in serum Cor and VGEF levels was observed among patients with varying degrees of neurological impairment ( < 0.05). Serum Cor and VGEF levels were significantly higher in the severe group than in the mild-to-moderate group. Cor and VEGF levels were significantly higher in patients with poor prognoses than in those with good prognoses. Multiple logistic regression analysis revealed that serum Cor and VGEF levels were independent factors affecting hypertensive intracerebral hemorrhage ( < 0.05).

CONCLUSION

Cor and VGEF are associated with the occurrence and development of hypertensive cerebral hemorrhage and are significantly associated with neurological impairment and prognosis of patients.

摘要

背景

脑出血是中老年男性高血压常见且严重的并发症。

目的

探讨血管内皮生长因子(VEGF)与皮质醇(Cor)之间的相关性以及高血压脑出血患者的预后情况。

方法

选取2020年1月至2022年12月期间收治的100例高血压性脑出血患者,纳入高血压脑出血组。同期选取在我院体检的100例健康人,纳入健康组。采集外周静脉血,采用酶联免疫吸附法检测血清Cor和VGEF水平。

结果

不同程度神经功能缺损患者血清Cor和VGEF水平差异有统计学意义(<0.05)。重度组血清Cor和VGEF水平显著高于轻中度组。预后差的患者Cor和VEGF水平显著高于预后好的患者。多因素logistic回归分析显示,血清Cor和VGEF水平是影响高血压脑出血的独立因素(<0.05)。

结论

Cor和VGEF与高血压脑出血的发生发展相关,且与患者神经功能缺损及预后密切相关。

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