中国现代医生2023，Vol.61Issue(36)：29-34,6.DOI:10.3969/j.issn.1673-9701.2023.36.008
簇集素浓度与颅脑损伤严重程度的相关性分析
Correlation analysis between clusterin concentration and severity of traumatic brain injury
摘要
Abstract
Objective To analyze the correlation between the concentration of serum and cerebrospinal fluid clusterin(CLU)and the severity of acute traumatic brain injury(TBI).Methods A total of 102 patients with acute moderate and severe TBI admitted to the Second Hospital of Jiaxing from September 2019 to October 2020 were included in the study,and were divided into two batches in chronological order.The first batch of 20 cases were tested for serum CLU content and its time expression map for 4 consecutive days after injury by Western blot;The second batch of 82 cases were divided into groups according to Glasgow coma score(GCS),Rotterdam-CT score and brain contusion and laceration volume,the CLU concentration in serum and cerebrospinal fluid was detected by enzyme linked immunosorbent assay(ELISA)at peak time according to the serum CLU time expression map,and the differences of CLU concentrations between the groups were compared;The correlation between CLU concentration and patients'general data,GCS score,Rotterdam CT score and brain contusion and laceration volume was analyzed by Spearman correlation coefficient;The factors affecting CLU concentration were analyzed by multiple linear regression.Results The serum CLU concentration gradually increases in patients after TBI,and reached the peak at 3 days after injury;There was no statistical difference in serum CLU concentration in two GCS groups,three Rotterdam-CT score groups and two brain contusion and laceration volume groups(P>0.05),but there was a statistical difference in cerebrospinal fluid CLU concentration(P<0.05);Cerebrospinal fluid CLU concentration was negatively correlated with GCS score(r=-0.542,P<0.05),and positively correlated with Rotterdam-CT score and brain contusion and laceration volume(r=0.414,0.738,P<0.05);There was statistical difference in the influence of brain contusion and laceration volume on cerebrospinal fluid CLU concentration(β=8.074,P<0.001).Conclusion The concentration of CLU in cerebrospinal fluid can reflect the severity of TBI,which is mainly related to the volume of brain contusion and laceration.关键词
簇集素/颅脑损伤/格拉斯哥昏迷评分/鹿特丹CT评分Key words
Clusterin/Traumatic brain injury/Glasgow coma score/Rotterdam-CT score分类
临床医学引用本文复制引用
田和平,钟琦,周海航,王耿焕..簇集素浓度与颅脑损伤严重程度的相关性分析[J].中国现代医生,2023,61(36):29-34,6.基金项目
浙江省嘉兴市科技计划项目(2019AD32193) （2019AD32193）
