急性缺血性脑卒中血液学和电解质水平及氧化应激预测因素的Logistic回归分析

Derouiche Samir, Salem Saadia, Leguemairi Maroua
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摘要

背景:缺血性中风是一种影响脑血管的常见疾病。这种疾病被认为是全世界影响神经系统的最危险的疾病之一。目的:本研究的目的是评估一些血液学和生化参数在图古尔特(阿尔及利亚)地区的男性缺血性疾病。方法:40例自愿受试者分为健康男性(平均±SD年龄56.13±3.32岁)和缺血性脑卒中男性(平均±SD年龄57.75±4.01岁)两组;它们的起源覆盖了整个图古尔特(阿尔及利亚)地区。分析一些血液学和生化参数,使用受试者工作特征曲线(ROC)设计评估血清、红细胞和白细胞中氧化应激生物标志物的敏感性和特异性。结果:与对照组相比,脑卒中患者血糖水平显著升高(P>0.05),血清钠、钾、氯浓度及血清碱性磷酸酶活性显著降低(P<0.05)。与对照组相比,缺血性卒中患者红细胞、血红蛋白、谷胱甘肽(GSH)、总硫醇水平显著降低(P<0.05),白细胞、中性粒细胞、血小板、丙二醛(MDA)、超氧化物歧化酶(SOD)、总抗氧化能力(TAC)、维生素C水平显著升高(P<0.05),氧化应激标志物具有较高的敏感性和特异性。结论:电解质、血液学、碱性磷酸酶和氧化应激指标的变化与缺血性脑卒中的发生或并发症有关。氧化应激标志物的研究可以早期识别中风疾病的预测因子。
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Assessment of Hematological and Electrolytes Levels and Oxidative Stress Predictive Factors by Logistic Regression Analysis of Acute Ischemic Stroke Disease
Background: Ischemic stroke is a common disease that affects the blood vessels in the brain. This disease is considered one of the most dangerous ailments that affect the nervous system all over the world. Objectives: The aim of this study was to evaluate some hematological and biochemical parameters in men with ischemic disease in Touggourt (Algeria) region. Methods: The study was done on 40 voluntary individuals divided into healthy men reserved as control with Mean±SD age of 56.13±3.32 years and ischemic stroke man (patients) with Mean±SD age of 57.75±4.01 years; their origin covered the whole Touggourt (Algeria) region. Some hematological and biochemical parameters were analyzed, Sensitivity and specificity of oxidative stress biomarkers in serum, erythrocytes, and leucocytes were estimated using a receiver operating characteristics curve (ROC) design. Results: The results suggest that when compared to the controls, blood glucose levels significantly increased (P>0.05) while serum sodium, potassium, and chloride concentrations and serum alkaline phosphatase activity significantly decreased (P<0.05) in stroke patients. Red blood cell, hemoglobin, glutathione (GSH), and total thiol levels significantly decreased (P<0.05) while white blood cell, neutrophile, platelets, malondialdehyde (MDA), superoxide dismutase (SOD), total antioxidant capacity (TAC) and vitamine C levels significantly increased (P<0.05) in ischemic stroke patients compared to the controls with high sensitivity and specificity values of oxidative stress markers. Conclusion: The results indicate that change in electrolytes, hematological, alkaline phosphatase, and oxidative stress markers contributes to the development or complications of ischemic stroke. Investigations on oxidative stress markers can early identify predictors of stroke disease.
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