亚低温治疗对急性脑卒中患者血清IL-2、IL-6、α-TNF的影响

    Influence of mild hypothermia on serum IL-2,IL-6 and α-TNF levels in patients with acute stroke

    • 摘要: 目的: 探讨亚低温治疗对急性脑卒中患者血清IL-2、IL-6、α-TNF的影响和临床意义。方法: 将36例脑卒中患者随机分为亚低温治疗和常规治疗组,检测入院第1天(d1)、第3-5天(d3-5)、第14天(d14)血清IL-2、IL-6、α-TNF的水平,进行对照比较。记录患者第14天的美国国立卫生院神经功能评分(NIHSS)和病死率。结果: 两组患者d1、d3-5、d14血清IL-2、IL-6、α-TNF的水平均高于正常组(P<0.01),亚低温治疗组d3-5、d14血清IL-2和IL-6的水平均低于同期常规治疗组(P<0.01和P<0.05)。亚低温治疗组第14天的NIHSS明显低于常规治疗组(P<0.001)。两组的病死率分别为31.3%和45.0%,差异无统计学意义(P>0.05)。结论: 亚低温治疗可以降低急性脑卒中患者血清IL-2、IL-6的水平,抑制卒中后炎症反应,保护脑神经细胞。

       

      Abstract: Objective: To explore the influence of mild hypothermia on serum IL-2,IL-6 and α-TNF levels and its clinical significance.Methods: Thirty-six patients with acute stroke were divided into mild hypothermia group and routine group.The serum levels of IL-2,IL-6 and α-TNF on the first(d1),third to fifth(d3-5),fourteenth(d14)day after hospitalization were monitored and compared between the two groups.The patients' NIHSS on d14 and the mortality were recorded.Results: The serum levels of IL-2,IL-6 and α-TNF of both groups on d1,d3-5 and d14 were higher than those of the normal group(P<0.01).The serum levels of IL-2 and IL-6 in patients treated with mild hypothermia on d3-5 and d14 were lower than those of routine group(P<0.01 and P<0.05).NIHSS of patients with mild hypothermia treatment on d14 was lower than that of routine group(P<0.001),and mortalities were 31.3%and 45.0%,respectively.There was no distinct difference between them(P>0.05).Conclusions: Mild hypothermia treatment can decrease the serum levels of IL-2 and IL-6 in patients with acute stroke and inhibit the inflammatory response so that the cerebral cells can be protected.

       

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