血浆脂联素水平与急性缺血性中风严重程度的关系

Deepak S. Phalgune, Siddharth Damle, Arun Bahulikar, Divya Patel, Ajit Tambolkar
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摘要

很少有文献描述血浆脂联素与印度人群缺血性中风严重程度之间的关系。本研究采用美国国立卫生研究院卒中量表(NIHSS)和改良Rankins量表(MRS)探讨血浆脂联素水平与急性缺血性卒中严重程度的相关性。本前瞻性观察研究纳入109例年龄≥30岁、新发神经功能障碍24小时内确诊的急性缺血性卒中患者。NIHSS和MRS分别在症状出现后24小时和5天内测量。测定血浆脂联素水平。主要目的是通过NIHSS和mrs发现血浆脂联素水平与急性缺血性卒中严重程度的相关性,次要目的是发现血浆脂联素水平与血脂和合并症的关系。血浆脂联素水平与NIHSS评分(r = - 0.110, p值= 0.253)、MRS (r = -0.041, p值= 0.672)呈负相关,但差异无统计学意义。中位血浆脂联素水平在合并和未合并病例组之间具有可比性。甘油三酯水平高的患者血浆脂联素水平正常的比例明显更高。脂联素正常组与异常组其他脂质参数及高血压分布无显著差异。血浆脂联素水平与急性缺血性脑卒中严重程度无相关性。
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Association between plasma adiponectin levels and severity of acute ischemic stroke
There is little documentation describing the correlation between plasma adiponectin and the severity of ischemic stroke in the Indian population. The present study was aimed to find the correlation between plasma adiponectin levels and severity of acute ischemic stroke using the National Institute of Health Stroke Scale (NIHSS) and Modified Rankins Scale (MRS). The present prospective observational study was conducted on 109 patients of confirmed acute ischemic stroke aged ≥ 30 years presenting within 24 hours of new onset of neurodeficits. NIHSS and MRS were measured within 24 hours and 5 days after onset of symptoms respectively. Plasma adiponectin levels were measured. The primary objectives were to find the correlation of plasma adiponectin levels with severity of acute ischemic stroke using the NIHSS and neurological functional outcome using the MRS. The secondary objectives were to find an association of plasma adiponectin levels with serum lipid profile and comorbidities.There was a negative correlation between plasma adiponectin levels and NIHSS score (r = - 0.110, p-value = 0.253) and MRS (r = -0.041, p-value = 0.672) which was not statistically significant. The median plasma adiponectin levels were comparable between the groups of cases with co-morbidity and without co-morbidity. A significantly higher percentage of patients who had high triglyceride levels had normal plasma adiponectin levels. The distribution of other lipid parameters and hypertension did not differ significantly between the groups of cases with normal and abnormal plasma adiponectin levels. There was no correlation between plasma adiponectin levels and severity of acute ischemic stroke.
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