临床无症状脑病变患者的生化参数与性别相关的初步研究

IF 0.5 Q4 PRIMARY HEALTH CARE Family Medicine and Primary Care Review Pub Date : 2020-01-01 DOI:10.5114/fmpcr.2020.98246
Barbara Maciejewska, A. Marcinkowska-Gapinska, P. Iwanowski, Zofia Maciejewska-Szaniec, P. Kowal
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引用次数: 0

摘要

背景。随着成像技术的可用性和质量的提高,越来越多的患者被确定为没有短暂性脑缺血发作或中风的病史,而影像学显示为脑梗死。临床无症状性血管性脑病变(csVcl)包括无症状脑梗死、白质高信号和脑萎缩。csVcl作为脑血管危险因素对脑损伤的影响增加了晚年痴呆的可能性。中风的脑血管危险因素,如高血压、心脏病、糖尿病、饮食习惯、肥胖、吸烟和酗酒,在医疗实践中是显而易见的。csVcl还会增加中风的风险。血液的特性负责大脑的适当组织灌注。目标。csVcl患者男女血液生化指标差异分析。材料和方法。对45例患者进行了评估。通过磁共振成像诊断csVcl。所有患者均进行了血细胞计数、血糖、尿素、肌酸血清、甲状腺检查、肝脏检查、血脂、纤维蛋白原、igM、igG、igA和白蛋白/球蛋白比(A/G)检查。对照组(39人)在中枢神经系统没有这种症状。血液生化试验是按照常规程序进行的——医院实验室的自动分析。结果。女性患者红细胞压积和igA值较低,ers和igM值高于男性,女性csVcl患者igA值较高,白蛋白/球蛋白指标较低。结论。对收集的女性和男性结果的分析表明,存在不同的csVcl发生机制。
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Biochemical parameters of patients with clinically silent cerebral lesions depend on gender – a preliminary study
Background. As the availability and quality of imaging techniques improve, more and more patients are identified with no history of transient ischaemic attack or stroke in whom imaging shows brain infarcts. clinical silent vascular cerebral lesions (csVcl) include asymptomatic brain infarction, white matter hyperintensities and brain atrophy. the impact of csVcl as cerebrovascular risk factors on brain injury increases the likelihood of later life dementia. cerebrovascular risk factors of stroke, such as hypertension, heart disease, diabetes, eating habits, obesity, smoking and alcoholism, are obvious in medical practise. csVcl also increases the risk of stroke. the blood’s properties are responsible for proper tissue perfusion of the brain. Objectives. Analysis of the different biochemical parameters of blood in women and men with csVcl. Material and methods. 45 patients were evaluated. csVcl was diagnosed by means of magnetic resonance imaging. All patients had blood count, blood sugar, urea, creatine serum, thyroid tests, liver tests, lipid profile, fibrinogen, igM, igG, igA and albumin/globulin ratio (A/G) performed. the control group (39 people) had no such symptoms in the central nervous system. Biochemical tests of blood were perform according to routine procedures – automatic analysis in a hospital laboratory. Results. there were observed lower values of haematocrit and igA, and higher of ers and igM were observed more in the group of women than men, as well as there being a higher value of igA and a lower albumin/globulin indicator in women with csVcl. Conclusions. the analysis of the results collected for women and men indicates the existence of different mechanisms of csVcl oc -currence.
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CiteScore
1.20
自引率
14.30%
发文量
18
审稿时长
12 weeks
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