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烟雾病患者甘油三酯-葡萄糖指数与中风风险的关联:一项单中心回顾性研究

Association between triglyceride-glucose index and the risk of stroke among moyamoya patients: a single-center retrospective study.

作者信息

Zhang Chi, Guo Kai, Xu Hong, Kong Gang, Liu Chuanghong

机构信息

First People's Hospital of Changshu City, Changshu, Jiangsu, China.

出版信息

Front Neurol. 2025 Mar 14;16:1547627. doi: 10.3389/fneur.2025.1547627. eCollection 2025.

DOI:10.3389/fneur.2025.1547627
PMID:40162010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11949810/
Abstract

BACKGROUND

Moyamoya disease increases the risk of strokes by impairing cerebral circulation, significantly affecting patients' quality of life. Despite the profound implications of this condition, there is a limited body of research exploring the factors that contribute to strokes in patients with Moyamoya disease. This study aims to evaluate the predictive value of the triglyceride-glucose index (TyG index) in forecasting stroke events among individuals diagnosed with moyamoya disease.

METHODS

A total of 84 patients diagnosed with Moyamoya disease were treated at Changshu First People's Hospital from 01 January 2019 to 31 October 2024 were included in this study. We systematically collected and analyzed their clinical histories, laboratory test results, and baseline data. The patients were classified into two groups based on their history of cerebral stroke. Subsequently, we conducted a comparison and analysis of the TyG index between these two groups.

RESULTS

The TyG index observed in patients with moyamoya disease who have a history of cerebral stroke was significantly elevated compared to that of patients without such a history. This difference was found to be statistically significant ( < 0.05). Furthermore, regression cubic splines analysis indicated a noteworthy linear relationship between the TyG index and the occurrence of cerebral stroke events.

CONCLUSION

In individuals diagnosed with Moyamoya disease, the TyG index has been shown to have a significant correlation with the risk of cerebral stroke. Furthermore, it has the potential to serve as an effective predictor for the occurrence of stroke.

摘要

背景

烟雾病通过损害脑循环增加中风风险,严重影响患者生活质量。尽管这种疾病有深远影响,但探索烟雾病患者中风相关因素的研究有限。本研究旨在评估甘油三酯-葡萄糖指数(TyG指数)在预测烟雾病患者中风事件中的价值。

方法

本研究纳入了2019年1月1日至2024年10月31日在常熟市第一人民医院接受治疗的84例确诊烟雾病患者。我们系统收集并分析了他们的临床病史、实验室检查结果和基线数据。根据患者的脑中风病史将其分为两组。随后,我们对两组之间的TyG指数进行了比较和分析。

结果

有脑中风病史的烟雾病患者的TyG指数明显高于无此病史的患者。发现这种差异具有统计学意义(<0.05)。此外,回归三次样条分析表明TyG指数与脑中风事件的发生之间存在显著的线性关系。

结论

在确诊为烟雾病的个体中,TyG指数已被证明与脑中风风险显著相关。此外,它有可能作为中风发生的有效预测指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb18/11949810/b8126f92f5da/fneur-16-1547627-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb18/11949810/c2f824ece29e/fneur-16-1547627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb18/11949810/fc6eacdd6aa9/fneur-16-1547627-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb18/11949810/b8126f92f5da/fneur-16-1547627-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb18/11949810/c2f824ece29e/fneur-16-1547627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb18/11949810/fc6eacdd6aa9/fneur-16-1547627-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb18/11949810/b8126f92f5da/fneur-16-1547627-g003.jpg

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本文引用的文献

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Diabetol Metab Syndr. 2025 Jan 15;17(1):15. doi: 10.1186/s13098-024-01568-6.
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Diagnosis and management of adult Moyamoya angiopathy: An overview of guideline recommendations and identification of future research directions.成人烟雾病的诊断与管理:指南建议概述及未来研究方向的确定
Int J Stroke. 2025 Jun;20(5):512-523. doi: 10.1177/17474930241297031. Epub 2024 Nov 4.
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Triglyceride-Related Parameters and Symptomatic Atherosclerotic Lesions in Patients With Ischemic Stroke.
缺血性中风患者的甘油三酯相关参数与症状性动脉粥样硬化病变
J Lipid Atheroscler. 2024 May;13(2):155-165. doi: 10.12997/jla.2024.13.2.155. Epub 2024 Jan 16.
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TRIGLYCERIDE - GLUCOSE INDEX, REMNANT CHOLESTEROL AND COMMON CAROTID ARTERY INTIMA-MEDIA THICKNESS AS AN ATHEROSCLEROTIC MARKER IN ISCHEMIC STROKE PATIENTS.甘油三酯-血糖指数、残余胆固醇和颈总动脉内中膜厚度作为缺血性脑卒中患者的动脉粥样硬化标志物。
Georgian Med News. 2024 Feb(347):59-65.
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Interacting and joint effects of triglyceride-glucose index (TyG) and body mass index on stroke risk and the mediating role of TyG in middle-aged and older Chinese adults: a nationwide prospective cohort study.甘油三酯-葡萄糖指数(TyG)与体重指数的交互作用及联合效应对脑卒中风险的影响及 TyG 在中老年中国人群中的中介作用:一项全国前瞻性队列研究。
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