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中国临床研究:2025,38(7):1065-1068
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蛋白激酶C、甲状腺激素水平与脑梗死患者神经功能缺损程度及预后的关系
(安徽省第二人民医院检验科,安徽 合肥 230001)
The relationship between the levels of protein kinase C,thyroid hormone and neurological impairment and prognosis in patients with cerebral infarction
(Laboratory Department of Anhui NO.2 Provincial People's Hospital,Hefei,Anhui,230001,China)
摘要
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投稿时间:2024-10-17   网络发布日期:2025-07-21
中文摘要: 目的 分析蛋白激酶C(PKC)、甲状腺激素水平与脑梗死患者神经功能缺损程度及预后的关系。方法选取安徽省第二人民医院2022年8月至2023年10月就诊的80例脑梗死患者作为观察组,另选择84例体检的健康人群作为对照组。检测并对比两组的PKC、甲状腺激素水平,对比不同神经功能缺损程度及不同预后脑梗死患者的PKC、甲状腺激素水平,采用logistic回归分析影响脑梗死患者预后的相关因素。结果 观察组的三碘酪氨酸(T3)、四碘酪氨酸(T4)、游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)水平低于对照组,而PKC、促甲状腺激素(TSH)水平高于对照组(P<0.05)。轻度组的T3、FT3水平高于中度组、重度组,而中度组高于重度组(P<0.05);轻度组的PKC、TSH水平低于中度组、重度组,而中度组低于重度组(P<0.05);但三组的T4、FT4水平相比,差异无统计学意义(P>0.05)。预后良好组入院时NIHSS评分、PKC、TSH低于预后不良组,T3、T4、FT3、FT4水平高于预后不良组,差异有统计学意义(P<0.05)。Logistic多因素分析结果显示,入院时NIHSS评分升高、PKC升高、T3降低、T4降低、FT3降低、FT4降低、TSH升高为影响脑梗死患者预后的独立危险因素(P<0.05)。结论 PKC、甲状腺激素水平与脑梗死患者神经功能缺损程度及预后存在明显相关性,检测甲状腺激素水平可有效评估患者的预后。
Abstract:Objective To analyze the relationship between the level of protein kinase C(PKC),thyroid hormone and the degree of neurological impairment and prognosis inpatients with cerebral infarction. Methods A total of 80 patients with cerebral infarction who received medical treatment in Anhui No.2 Provincial People,s Hospital from August 2022 to October 2023 were selected as the observation group,and 84 healthy people who underwent physical examination in the same hospital were selected as the control group. The levels of PKC,thyroid hormone in the two groups were detected and compared,and the levels of PKC,thyroid hormone in patients with different degrees of neurological impairment and different prognosis of cerebral infarction were compared,and the related factors affecting the prognosis of cerebral infarction patients were analyzed by logistic regression.Results The levels of triiodotyrosine(T3),tetraiodotyrosine(T4), free triiodothyronine(FT3)and free tetraiodothyronine(FT4)in observation group were lower than those in control group,while the levels of PKC,thyroid stimulating hormone(TSH)were higher than those in control group (P<0.05). The levelsof T3 and FT3 in mild group were higher than those in moderate group and severe group,while those in moderate group were higher than those in severe group(P<0.05). The PKC,TSH levels of mild group was lower than that of moderate group and severe group,while the moderate group was lower than severe group(P<0.05). However,there was no significant difference in T4 and FT4 levels among the three groups(P>0.05). The prognosis-favorable group had lower NIHSS scores at admission,PKC,and TSH levels than the prognosis-unfavorable group,while T3,T4,FT3,and FT4 levels were higher(P<0.05). Logistic multivariate regression analysis showed that increased NIHSS score,increased PKC,decreased T3,decreased T4,decreased FT3,decreased FT4 and increased TSH were independent risk factors affecting the prognosis of cerebral infarction patients(P< 0.05). Conclusion There is a significant correlation between the level of PKC ,thyroid hormone and the degree of neurological impairment and prognosis of patients with cerebral infarction. The detection of thyroid hormone level can effectively evaluate the prognosis of patients.
文章编号:     中图分类号:R743.3 R446.1    文献标志码:A
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引用文本:
江丹,程华,何学玲.蛋白激酶C、甲状腺激素水平与脑梗死患者神经功能缺损程度及预后的关系[J].中国临床研究,2025,38(7):1065-1068.

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