广州医药2024，Vol.55Issue(7)：764-769,6.DOI:10.3969/j.issn.1000-8535.2024.07.011
常见炎性指标与进展性脑梗死病灶损害程度的关联及对预后的预测效能分析
Analysis of the correlation between common inflammatory indicators and the degree of damage to progressive cerebral infarction lesions and their predictive efficacy for prognosis
摘要
Abstract
Objective To analyze the correlation between routine inflammatory indicators and the degree of lesion damage in progressive cerebral infarction(PCI)patients,as well as predictive efficacy of indicators on prognosis levels.Methods This is a retrospective study,with case enrollment from June 2021 to February 2023.The study subjects were 100 PCI patients.Based on the NIHSS score at admission,30 patients with a NIHSS score≥21 were classified as the severe group,35 patients with a NIHSS score of 15～20 were classified as the moderate group,and 35 patients with a NIHSS score＜15 were classified as the mild group.The neurological function serological and inflammatory indicators of the three groups of patients were compared.The correlation between inflammatory indicators and neurological serological indicators was verified by Pearson correlation coefficient.According to the occurrence of adverse prognosis,enrolled patients were divided into good prognosis group and poor prognosis group.The differences in inflammatory indicators and mRS scores between the two groups were compared,and the predictive power of inflammatory indicators on the prognosis level of PCI patients was evaluated by plotting ROC and observing AUC.Results After testing,the levels of CRP,IL-6 and TNF in the severe group were(26.44±5.18)mg/L,(95.28±10.46)ng/L and(45.24±10.31)pg/mL,respectively,higher than those in the moderate group[(23.12±5.46)mg/L,(90.44±10.17)ng/L and(40.25±10.18)pg/mL]and the mild group[(20.28±5.33)mg/L,(84.33±10.27)ng/L and(35.62±8.45)pg/mL](P＜0.05).NSE and S100β in the severe group were(25.45±5.69)μg/L and(60.45±10.31)ng/mL,all higher than those in the moderate group[(22.18±5.36)μg/L,(55.27±10.46)ng/mL]and mild group[(19.44±5.37)μg/L,(50.49±10.25)ng/mL](P＜0.05).According to Pearson correlation coefficient test,CRP,IL-6,TNF-α and mRS in PCI patients positively correlated with NSE,S100β(P＜0.05).After testing,CRP,IL-6,TNF-α and mRS in the group with poor prognosis were(26.62±5.31)mg/L,(96.77±10.24)ng/L,(47.25±10.33)pg/mL and(4.24±1.33)scores,respectively,which were higher than those in the group with good prognosis[(23.75±5.44)mg/L,(91.25±10.37)ng/L,(41.12±10.44)pg/mL and(3.36±0.27)scores](P＜0.05).Verified by ROC curve,the higher the levels of CRP,IL-6 and TNF-α,the higher the mRS scores of PCI patients(AUC＞0.85).Conclusions Common inflammatory indicators such as CRP,IL-6 and TNF-α of PCI will continue to increase with the severity of brain nerve function damage in patients,and are positively correlated with the degree of lesions damage.By detecting the aforementioned inflammatory indicators,early prediction of poor prognosis can be achieved for patients.关键词
进展性脑梗死/炎性指标/神经功能/相关性分析/预后水平Key words
progressive cerebral infarction/inflammatory indicators/neurological function/correlation analysis/prognostic level引用本文复制引用
杨六红,陈翔..常见炎性指标与进展性脑梗死病灶损害程度的关联及对预后的预测效能分析[J].广州医药,2024,55(7):764-769,6.基金项目
河南省医学科技攻关计划项目(LHGJ20200183) （LHGJ20200183）
