《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (12): 1156-1158.

• 临床研究 • 上一篇    下一篇

急性脑梗死患者血浆血栓素B2、6-酮-前列腺素F及其比值水平的动态变化与临床意义

王峥1,2; 王荫华1; 高枫1; 郝洪军1; 孙伟平1   

  1. 1.北京大学第一医院神经科,北京市 100034;2.南京医科大学第一附属医院老年医学科,江苏南京市 210029
  • 收稿日期:2008-06-25 出版日期:2008-12-01 发布日期:2008-12-01

Dynamic Analysis for Level of Plasma TXB2,6-keto-PGF and TXB2/6-keto-PGF of Patients with Acute Cerebral Infarction and Its Clinic Significance

WANG Zheng, WANG Yin-hua, GAO Feng, et al   

  1. The Department of Neurology, the First Hospital of Beijing University, Beijing 100034, China
  • Received:2008-06-25 Published:2008-12-01 Online:2008-12-01

摘要: 目的通过测定急性脑血管病患者血浆血栓素B2(TXB2),6-酮-前列腺素F(6-keto-PGF)的含量及其动态变化,了解血小板功能变化。方法检测205例急性脑梗死患者发病后24 h内、1周时、2周时的血浆TXB2和6-keto-PGF含量及其比值(T/6-K),并与正常对照组(n=40)进行比较。结果急性脑梗死患者发病后24 h内、1周时、2周时的血浆TXB2和6-keto-PGF的含量均明显高于正常正对照组(P<0.01);TXB2在1周时达峰值,至2周时下降;6-keto-PGF逐渐增高,至2周时达峰值;T/6-K在发病后24 h内、1周时均明显高于正常正对照组(P<0.01),1周时达峰值,至2周时下降,基本与正常对照组相似(P>0.05)。结论TXB2、6-keto-PGF及T/6-K的测定有助于了解急性脑梗死患者血小板功能的变化,保持TXB2与6-keto-PGF的平衡对维持血流通畅有重要意义。

关键词: 急性脑梗死, 血栓素B2, 6-酮-前列腺素, 血栓素B2/6-酮-前列素, 血小板

Abstract: Objective To assess the level of plasma thromboxane B2(TXB2),6-keto-prostaglandin F(6-keto-PGF) of patients with acute cerebral infarction,so as to know the changes of platelet function on acute cerebral vascular diseases.MethodsThe level of plasma TXB2,6-keto-PGF and TXB2/6-keto-PGF1α(T/6-K) of 205 patients with acute cerebral infarction were measured within 24 hours and on the 7th day and 14th day,and were compared with the normal controls(n=40).ResultsThe levels of plasma TXB2,6-keto-PGF of patients within 24 hours,on the 7th day and 14th day were significantly higher than those in the normal controls(P<0.01).The level of plasma TXB2 was the highest on the 7th day and decreased on 14th day.The level of plasma 6-keto-PGF was the highest on the 14th day.T/6-K was higher than those in the normal controls within 24 hours and on the 7th day;it was highest on the 7th day and decreased on 14th day to level of the normal controls(P>0.05).ConclusionThe determine on levels of plasma TXB2,6-keto-PGF has important significance for knowing the changes of platelet function on acute cerebral infarction.The balance between TXB2 and 6-keto-PGF is important in keeping the blood smoothly.

Key words: acute cerebral infarction, thromboxane B2(TXB2), 6-keto-prostaglandin F(6-keto-PGF), TXB2/6-keto-PGF, platelet

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