急性脑梗死患者血清 IL-8、TNF-α、hs-CRP 的动态监测及临床意义

摘要

目的：分析急性脑梗死患者血清白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、超敏 C 反应蛋白(hs-CRP)水平及其临床意义。方法选取40例急性脑梗死患者,进行神经功能缺损程度和梗死灶体积评分,检测其血清 IL-8、TNF-α、hs-CRP 水平；另选取同期体检健康者40例作为对照组。结果急性脑梗死患者血清 IL-8、TNF-α、hs-CRP 水平高于对照组,差异均有统计学意义(P <0.05)。患者 IL-8、TNF-α、hs-CRP 水平均在发病后开始升高,72 h 达峰值,与梗死灶体积、神经功能缺损程度明显相关,第14天基本恢复正常。结论急性脑梗死患者血清 IL-8、TNF-α、hs-CRP 水平明显升高,并与脑梗死体积、神经功能缺损程度相关,可以此作为指导临床治疗、判断病情及预后的指标。%Objective To analyse the serum levels and clinical significance of interleukin-8(IL-8),tumor necrosis factor-α(TNF-α)and high-sensitivity C-reactive protein(hs-CRP)in patients with acute cerebral infarction.Methods 40 cases of patients with a-cute cerebral infarction were enrolled in this study.The degrees of neurological impairment and infarct volumes of these patiens were evaluated,serum levels of IL-8,TNF-αand hs-CRP were detected as well.40 cases of healthy individuals were selected as con-trol.Results The serum levels of IL-8,TNF-αand hs-CRP in patients with acute cerebral infarction were higher than those in the control group,had statistically significant differences(P <0.05).The serum levels of IL-8,TNF-αand hs-CRP in these patients be-gan to rise at the onset of acute cerebral infarction and reached peak in 72 hours,were also correlated with the volumes of infarction and the degrees of neurologic impairment.14 days after onset of acute cerebral infarction,serum levels of these indexes returned to normal.Conclusion The serum levels of IL-8,TNF-α,hs-CRP are significantly elevated in the patients with acute cerebral infarc-tion,which may be correlated with the volumes of infarction and the degree of neurologic impairment,and could be used to guiding clinical treatment and estimating the severity and prognosis of acute cerebral infarction.