脑血管病患者血浆同型半胱氨酸浓度及相关因素分析

    Homocysteine level in patients with cerebrovascular disease and the relative factors

    • 摘要: 目的: 探讨高同型半胱氨酸(Hcy)血症及其相关因素与脑血管病的关系。方法: 选择年龄及性别基本匹配的脑梗死组60例、脑出血组30例、神经系统其他疾病组30例和正常老年人组30名,采用酶联免疫分析法测定入选者血浆Hcy浓度,并同时测定血叶酸、维生素B12结果: 脑梗死组和脑出血组血Hcy浓度明显高于神经内科其他疾病组和正常老年人组(P<0.01)。相关回归分析显示:梗死组和脑出血组Hcy与叶酸、维生素B12存在负相关。结论: 高Hcy血症与脑血管病相关。补充叶酸、维生素B12可能有助于降低这一危险因素。

       

      Abstract: Objective: To examine the relationship between hyperhomocysteinemia,cerebrovascular disease and the relative factors.Methods: The four groups randomly selected had no obvious differences in age and sex.The plasma homocysteine(Hcy) levels of 60 patients with cerebral infarction,30 patients with cerebral hemorrhage,30 patients with other neurological diseases and 30 normal controls were measured by STE.Besides Hcy,each patient received laboratory examinations including folate and Vitamin B12.Results: The plasma Hcy level in the group with cerebral infarction or cerebral hemorrhage was significantly higher than that with other neurological diseases or normal controls(P<0.01).Correlation analysis showed that plasma Hcy in stroke was negatively correlated with plasma folate and Vitamin B12 (P<0.05).Conclusions: There is a certain relationship between the level of Hcy and cerebrovascular disease;therefore folate and Vitamin B12 supplementation might help to lower the risk factors.

       

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