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Glucose metabolism and neurogenesis in the gerbil hippocampus after transient forebrain ischemia 被引量:4
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作者 Dae Young Yoo Kwon Young Lee +6 位作者 Joon Ha Park Hyo Young Jung Jong Whi Kim Yeo Sung Yoon Moo-Ho Won Jung Hoon Choi In Koo Hwang 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第8期1254-1259,共6页
Recent evidence exists that glucose transporter 3(GLUT3) plays an important role in the energy metabolism in the brain.Most previous studies have been conducted using focal or hypoxic ischemia models and have focuse... Recent evidence exists that glucose transporter 3(GLUT3) plays an important role in the energy metabolism in the brain.Most previous studies have been conducted using focal or hypoxic ischemia models and have focused on changes in GLUT3 expression based on protein and m RNA levels rather than tissue levels.In the present study,we observed change in GLUT3 immunoreactivity in the adult gerbil hippocampus at various time points after 5 minutes of transient forebrain ischemia.In the sham-operated group,GLUT3 immunoreactivity in the hippocampal CA1 region was weak,in the pyramidal cells of the CA1 region increased in a time-dependent fashion 24 hours after ischemia,and in the hippocampal CA1 region decreased significantly between 2 and 5 days after ischemia,with high level of GLUT3 immunoreactivity observed in the CA1 region 10 days after ischemia.In a double immunofluorescence study using GLUT3 and glial-fibrillary acidic protein(GFAP),we observed strong GLUT3 immunoreactivity in the astrocytes.GLUT3 immunoreactivity increased after ischemia and peaked 7 days in the dentate gyrus after ischemia/reperfusion.In a double immunofluorescence study using GLUT3 and doublecortin(DCX),we observed low level of GLUT3 immunoreactivity in the differentiated neuroblasts of the subgranular zone of the dentate gyrus after ischemia.GLUT3 immunoreactivity in the sham-operated group was mainly detected in the subgranular zone of the dentate gyrus.These results suggest that the increase in GLUT3 immunoreactivity may be a compensatory mechanism to modulate glucose level in the hippocampal CA1 region and to promote adult neurogenesis in the dentate gyrus. 展开更多
关键词 nerve regeneration transient forebrain ischemia glucose transporter 3 pyramidal cells ASTROCYTES NEUROBLASTS neural regeneration
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Characterization of astrocytes and microglial cells in the hippocampal CA1 region after transient focal cerebral ischemia in rats treated with Ilexonin A 被引量:5
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作者 Ai-Ling Xu Guan-Yi Zheng +2 位作者 Hui-Ying Ye Xiao-Dong Chen Qiong Jiang 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第1期78-85,共8页
Ilexonin A is a compound isolated from the root of Ilex pubescens,a traditional Chinese medicine.Ilexonin A has been shown to play a neuroprotective role by regulating the activation of astrocytes and microglia in the... Ilexonin A is a compound isolated from the root of Ilex pubescens,a traditional Chinese medicine.Ilexonin A has been shown to play a neuroprotective role by regulating the activation of astrocytes and microglia in the peri-infarct area after ischemia.However,the effects of ilexonin A on astrocytes and microglia in the infarct-free region of the hippocampal CA1 region remain unclear.Focal cerebral ischemia models were established by 2-hour occlusion of the middle cerebral artery in rats.Ilexonin A(20,40 or 80 mg/kg)was administered immediately after ischemia/reperfusion.The astrocyte marker glial fibrillary acidic protein,microglia marker Iba-1,neural stem cell marker nestin and inflammation markers were detected by immunohistochemistry and western blot assay.Expression levels of tumor necrosis factor-αand interleukin 1βwere determined by enzyme linked immunosorbent assay in the hippocampal CA1 tissue.Astrocytes were activated immediately in progressively increasing numbers from 1,3,to 7 days post-ischemia/reperfusion.The number of activated astrocytes further increased in the hippocampal CA1 region after treatment with ilexonin A.Microglial cells remained quiescent after ischemia/reperfusion,but became activated after treatment with ilexonin A.Ilexonin A enhanced nestin expression and reduced the expression of tumor necrosis factor-αand interleukin 1βin the hippocampus post-ischemia/reperfusion.The results of the present study suggest that ilexonin A has a neuroprotective effect in the hippocampus after ischemia/reperfusion,probably through regulating astrocytes and microglia activation,promoting neuronal stem cell proliferation and reducing the levels of pro-inflammatory factors.This study was approved by the Animal Ethics Committee of the Fujian Medical University Union Hospital,China. 展开更多
关键词 ASTROCYTES HIPPOCAMPAL CA1 REGION ilexonin A MICROGLIA middle CEREBRAL artery occlusion neural stem cell NEUROPROTECTION transient focal CEREBRAL ischemia
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Nerve growth factor downregulates c-jun mRNA and Caspase-3 in striate cortex of rats after transient global cerebral ischemia/reperfusion 被引量:1
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作者 Dacheng Jin Tiemin Wang Xiubin Fang 《Neural Regeneration Research》 SCIE CAS CSCD 2006年第4期289-292,共4页
BACKGROUND: Immediate early gene (lEG) c-jun is a sensitive marker for functional status of nerve cells. Caspase-3 is a cysteine protease, which is a critical regulator of apoptosis. The effect of exogenous nerve g... BACKGROUND: Immediate early gene (lEG) c-jun is a sensitive marker for functional status of nerve cells. Caspase-3 is a cysteine protease, which is a critical regulator of apoptosis. The effect of exogenous nerve growth factor (NGF) on the expression of c-jun mRNA and Caspase-3 protein in striate cortex of rats with transient global cerebral ischemia/reperfusion (IR) is unclear. OBJECTIVE: To study the protective effect of exogenous NGF on the brain of rats with transient globa cerebral IR and its effecting pathway by observing the expression of c-jun mRNA and Caspase-3 protein. DESIGN: Randomized controlled animal trial SETTING: Department of Neural Anatomy, Institute of Brain, China Medical University MATERIALS:Eighteen healthy male SD rats of clean grade, aged 1 to 3 months, with body mass of 250 to 300 g, were involved in this study. NGF was provided by Dalian Svate Pharmaceutical Co.,Ltd. c-jun in situ hybridization detection kit, Caspase-3 antibody and SABC kit were purchased from Boster Biotechnology Co.. Ltd. METHODS: This trial was carried out in the Department of Neural Anatomy, Institute of Brain, China Medical University during September 2003 to April 2005. (1) Experimental animals were randomized into three groups with 6 in each: sham-operation group, IR group and NGF group.(2)After the rats were anesthetized, the bilateral common carotid arteries and right external carotid arteries of rats were bluntly dissected and bilateral common carotid arteries were clamped for 30 minutes with bulldog clamps. Reperfusion began after buldog clamps were removed. Normal saline of lmL and NGF (1×10^6 U/L) of 1 mL was injected into the common carotid artery of rats via right external carotid arteries in the IR group and NGF group respectively. The injection was conducted within 30 minutes, and then the right external carotid arteries were ligated. In the sham-operation group, occlusion of bilateral common carotid arteries and administration of drugs were omitted.GAll the rats were executed by decollation at 3 hours after modeling. The animals were fixed with phosphate buffer solution (PBS, 0.1 mol/L) containing 40 g/L polyformaldehyde, their brains were quickly removed. The coronal section tissue mass containing striate cortex about 3 mm before line between two ears was taken and made into successive frozen sections.(4)The expression of c-jun mRNA and Caspase-3 protein in striate cortex of global cerebral ischemia rats were detected with in situ hybridization, immunohistochemistry and microscope image analysis. (5)t test was used for comparing the difference of the measurement data. MAIN OUTCOME MEASURES:Comparison of the expression of lEG c-jun mRNA and Caspase-3 protein in striate cortex of brain of rats in each group. RESULTS:All the 18 SD rats were involved in the analysis of results. The c-jun mRNA and Caspase-3 protein positive reaction cells were found brown yellow in the striate cortex of rats, and most of them were in lamellas Ⅱ and Ⅲ, mainly presenting round or oval. The expression of c-jun mRNA and Caspase-3 protein in sham-operation group was weak or negative. The average gray value of c-jun mRNA and Caspase-3 protein in the IR group was significantly lower than that in the sham-operation group (49.52±4.13 vs. 95.48± 5.28; 74.73±4.29 vs. 162.38±9.16,P 〈 0.01). The average gray value of c-jun mRNA and Caspase-3 protein in the NGF group was significantly higher than that in the IR group (63.96±4.25 vs.49.52±4.13; 83.98± 4.13 vs. 74.73±4.29, P〈 0.05). CONCLUSION: NGF can protect ischemic neurons by down-regulating the expression of c-jun mRNA and Caspase-3 protein in striate cortex of global cerebral ischemia rats. 展开更多
关键词 MRNA Nerve growth factor downregulates c-jun mRNA and Caspase-3 in striate cortex of rats after transient global cerebral ischemia/reperfusion NGF
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Time-course pattern of neuronal loss and gliosis in gerbil hippocampi following mild, severe, or lethal transient global cerebral ischemia 被引量:4
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作者 Tae-Kyeong Lee Hyunjung Kim +9 位作者 Minah Song Jae-Chul Lee Joon Ha Park Ji Hyeon Ahn Go Eun Yang Hyeyoung Kim Taek Geun Ohk Myoung Cheol Shin Jun Hwi Cho Moo-Ho Won 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第8期1394-1403,共10页
Transient ischemia in the whole brain leads to neuronal loss/death in vulnerable brain regions. The striatum, neocortex and hippocampus selectively loose specific neurons after transient ischemia. Just 5 minutes of tr... Transient ischemia in the whole brain leads to neuronal loss/death in vulnerable brain regions. The striatum, neocortex and hippocampus selectively loose specific neurons after transient ischemia. Just 5 minutes of transient ischemia can cause pyramidal neuronal death in the hippocampal cornu ammonis (CA) 1 field at 4 days after transient ischemia. In this study, we investigated the effects of 5-minute (mild), 15-minute (severe), and 20-minute (lethal) transient ischemia by bilateral common carotid artery occlusion (BCCAO) on behavioral change and neuronal death and gliosis (astrocytosis and microgliosis) in gerbil hippocampal subregions (CA1-3 region and dentate gyrus). We performed spontaneous motor activity test to evaluate gerbil locomotor activity, cresyl violet staining to detect cellular distribution, neuronal nuclei immunohistochemistry to detect neuronal distribution, and Fluoro-Jade B histofluorescence to evaluate neuronal death. We also conducted immunohistochemical staining for glial fibrillary acidic protein and ionized calcium-binding adapter molecule 1 (Ibal) to evaluate astrocytosis and microgliosis, respectively. Animals subjected to 20-minute BCCAO died in at least 2 days. BCCAO for 15 minutes led to pyramidal cell death in hippocampal CA1-3 region 2 days later and granule cell death in hippocampal de匚tate gyrus 5 days later. Similar results were not found in animals subjected to 5-minute BCCAO. Gliosis was much more rapidly and severely progressed in animals subjected to 15-minute BCCAO than in those subjected to 5- minute BCCAO. Our results indicate that neuronal loss in the hippocampal formation following transient ischemia is significantly different according to regions and severity of transient ischemia. The experimental protocol was approved by Institutional Animal Care and Use Committee (AICUC) of Kangwon National University (approval No. KW-180124-1) on May 22, 2018. 展开更多
关键词 transient global brain ischemia delayed neuronal death GLIAL activation ischemic duration hippocampus spontaneous motor activity Mongolian GERBIL histology neural regeneration
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Pretreated Oenan the Javanica extract increases anti-inflammatory cytokines, attenuates gliosis, and protects hippocampal neurons following transient global cerebral ischemia in gerbils 被引量:6
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作者 Joon Ha Park In Hye Kim +12 位作者 Ji Hyeon Ahn YooHun Noh Sung-Su Kim Tae-Kyeong Lee Jae-Chul Lee Bich-Na Shin Tae Heung Sim Hyun Sam Lee Jeong Hwi Cho In Koo Hwang Il Jun Kang Jong Dai Kim Moo-Ho Won 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第9期1536-1543,共8页
Recently,we have reported that Oenanthe javanica extract(OJE)displays strong neuroprotective effect against ischemic damage after transient global cerebral ischemia.However,neuroprotective mechanisms of OJE have not b... Recently,we have reported that Oenanthe javanica extract(OJE)displays strong neuroprotective effect against ischemic damage after transient global cerebral ischemia.However,neuroprotective mechanisms of OJE have not been fully identified.Thus,this study investigated the neuroprotection of OJE in the hippocampal CA1 area and its anti-inflammatory activity in gerbils subjected to 5 minutes of transient global cerebral ischemia.We treated the animals by intragastrical injection of OJE(100 and 200 mg/kg)once daily for 1 week prior to transient global cerebral ischemia.Neuroprotection of OJE was observed by immunohistochemistry for neuronal nuclear antigen and histofluorescence staining for Fluoro-Jade B.Immunohistochemistry of glial fibrillary acidic protein and ionized calcium-binding adapter molecule 1 was done for astrocytosis and microgliosis,respectively.To investigate the neuroprotective mechanisms of OJE,we performed immunohistochemistry of tumor necrosis factor-alpha and interleukin-2 for pro-inflammatory function and interleukin-4 and interleukin-13 for anti-inflammatory function.When we treated the animals by intragastrical administration of 200 mg/kg of OJE,hippocampal CA1 pyramidal neurons were protected from transient global cerebral ischemia and cerebral ischemia-induced gliosis was inhibited in the ischemic hippocampal CA1 area.We also found that interleukin-4 and-13 immunoreactivities were significantly increased in pyramidal neurons of the ischemic CA1 area after OJE pretreatment,and the increased immunoreactivities were sustained in the CA1 pyramidal neurons after transient global cerebral ischemia.However,OJE pretreatment did not increase interleukin-2 and tumor necrosis factor-alpha immunoreactivities in the CA1 pyramidal neurons.Our findings suggest that pretreatment with OJE can protect neurons and attenuate gliosis from transient global cerebral ischemia via increasing expressions of interleukin-4 and-13.The experimental plan of this study was reviewed and approved by the Institutional Animal Care and Use Committee(IACUC)in Kangwon National University(approval No.KW-160802-1)on August 10,2016. 展开更多
关键词 Oenanthe JAVANICA EXTRACT transient global CEREBRAL ischemia hippocampus ischemic damage CEREBRAL ischemia neuroprotection glial activation pro-inflammatory CYTOKINES anti-inflammatory CYTOKINES inflammation neural regeneration
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Aggregation Patterns of Proteasome in Injured Neurons Induced by Transient Cerebral Ischemia
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作者 GE Peng-fei LIU Bin +4 位作者 FAN Wen-hai LI Shu-lei YANG Fu-wei LUO Yi-nan ZHANG Ping 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2011年第2期249-253,共5页
Proteasome activity reduction is an important pathological phenomenon, resulting in proteins aggregation and neuronal death in the injured neurons induced by transient ischemia. Our previous report showed that the tra... Proteasome activity reduction is an important pathological phenomenon, resulting in proteins aggregation and neuronal death in the injured neurons induced by transient ischemia. Our previous report showed that the trap of proteasome in the protein aggregates was a reason to lead to the reduction of proteasome activity. However, the patterns of proteasome entered into protein aggregates are not clear. In this study, we used a global ischemia model, Hematoxylin-Eosin staining, differential centrifuge, proteasome activity assay, sucrose gradient density centrifuge, and Western blot analysis to investigate this problem. Our results show that there are two aggregation patterns of proteasome after transient ischemia and reperfusion. One is that 26S proteasome is trapped by protein aggregates as a whole unit, and the other is that 19S or 20S is trapped in the protein aggregates, respectively, after 26S disassociates. 展开更多
关键词 PROTEASOME transient cerebral ischemia Protein aggregation NEURON
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Proteasome alteration and delayed neuronal death in hippocampal CA1 and dentate gyrus regions following transient cerebral ischemia
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作者 Pengfei Ge Tianfei Luo +5 位作者 Jizhou Zhang Haifeng Wang Wenchen Li Yongxin Luan Feng Ling Yi'nan Luo 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第10期744-748,共5页
BACKGROUND: Proteasome dysfunction has been reported to induce abnormal protein aggregation and cell death. OBJECTIVE: To investigate the effect of proteasome changes on delayed neuronal death in CA1 and dentate gyr... BACKGROUND: Proteasome dysfunction has been reported to induce abnormal protein aggregation and cell death. OBJECTIVE: To investigate the effect of proteasome changes on delayed neuronal death in CA1 and dentate gyrus (DG) regions of the rat hippocampus following transient cerebral ischemia. DESIGN, TIME AND SETTING: A randomized, controlled animal experiment. The study was performed at the Department of Biochemistry and Molecular Biology, Norman Bethune Medical College of Jilin University, from September 2006 to May 2008. MATERIALS: Rabbit anti-19S S10B polyclonal antibody was purchased from Bioreagents, USA; propidium iodide and fluorescently-labeled goat anti-rabbit IgG were purchased from Jackson Immunoresearch, USA; hematoxylin and eosin staining solution was purchased from Sigma, USA; LSM 510 confocal microscope was purchased from Zeiss, Germany. METHODS: A total of 40 healthy Wistar rats, male, 4 months old, were randomly divided into sham surgery group (n = 8) and model group (n = 32). Ischemic models were established in the model group by transient clamping of the bilateral carotid arteries and decreased blood pressure. After 20 minutes of global ischemia, the clamp was removed to allow blood flow for 30 minutes, 4, 24 and 72 hours, respectively, with 8 rats at each time point. The bilateral carotid arteries were not ligated in the sham surgery group. MAIN OUTCOME MEASURES: Neuronal death in the CA1 and DG regions was observed by hematoxylin-eosin staining. Proteasome expression in CA1 and DG region neurons was detected by immunohistochemistry. RESULTS: Hematoxylin-eosin staining showed neuronal death in the CA1 region alone at 72 hours of reperfusion following ischemia. In comparison to the sham surgery group, a significant decrease in proteasome expression was observed, by immunohistochemistry, in the CA1 and DG regions in the model group, following 30 minutes, 4, 24, and 72 hours of reperfusion (P 〈 0.01). After 72 hours of reperfusion following ischemia, proteasome expression had almost completely disappeared in the CA1 region. In contrast, neurons of the DG region showed minimized proteasome expression at 24 hours, with a slight increase at 72 hours (P 〈 0.01). CONCLUSION: The alteration of proteasome following ischemia/reperfusion in the neurons of hippocampal CA1 and DG regions reduces the ability of cells to degrade abnormal protein, which may be an important factor resulting in delayed neuronal death following transient cerebral ischemia. 展开更多
关键词 transient cerebral ischemia neuronal death PROTEASOME
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The neuroprotection of electro-acupuncture via the PGC-1α/TFAM pathway in transient focal cerebral ischemia rats
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作者 LUPING YANG YIJING JIANG +6 位作者 XIAOQIAN YE YONGMEI YOU LING LIN JING LIAN JUAN LI SHANLI YANG XIEHUA XUE 《BIOCELL》 SCIE 2022年第1期235-245,共11页
ATP depletion is one of the pathological bases in cerebral ischemia.Electro-acupuncture(EA)is widely used in clinical practice for ischemia.However,the mechanism of EA remains unclear.The purpose of this study was to ... ATP depletion is one of the pathological bases in cerebral ischemia.Electro-acupuncture(EA)is widely used in clinical practice for ischemia.However,the mechanism of EA remains unclear.The purpose of this study was to investigate whether EA could activate the AMPK/PGC-1α/TFAM signaling pathway and,consequently,increase the preservation of ATP in rats with ischemia.In this study,48 rats were randomly divided into four groups as a sham-operation control group(sham group),a middle cerebral artery occlusion group(MCAO group),an EA group,and an EA group blocked by the AMPK inhibitor compound C(EA+CC group)(N=12/group).The rats of the EA group and EA+CC group received the EA treatment for 7 days.The rats that belonged in the two remaining groups were only grasped in the same condition.Then,their brain tissues were collected for further detection.When compared with other groups,EA significantly reduced neurological deficits score and increased motor function.The cerebral infarction volume was significantly reduced in the EA group according to TTC staining.With western blot,we found that EA improved the ratio of p-AMPKα/AMPKα(P<0.05),however,there is no difference between the MCAO group and sham group(P>0.05).In addition,EA also increased the expression of PGC-1αand TFAM(all P<0.05).By Elisa,we observed that EA increased the preservation of ATP(P<0.05)and mitochondrial respiratory enzymes,including Complex I(P<0.05),Complex IV(P<0.05),but not Complex III(P>0.05).In summary,we conclude that EA may protect against ischemic damage in MCAO rats,improve the preservation of ATP and mitochondrial respiratory enzymes.This effect may be positively regulated by the activation of the PGC-1α/TFAM signaling pathway. 展开更多
关键词 transient focal cerebral ischemia Electro‑acupuncture PGC-1α/TFAM signaling pathway ATP release
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经颅彩色多普勒超声联合ABCD3-I量表对短暂性脑缺血发作所致脑梗死的评估价值
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作者 尚晓斌 李冉 +2 位作者 王子凡 彭璐 张海三 《临床心身疾病杂志》 CAS 2024年第2期40-45,共6页
目的 分析经颅彩色多普勒超声(TCCS)联合ABCD3-I评估短暂性脑缺血发作(TIA)后脑梗死价值。方法 选取117例TIA患者采用TCCS检查和ABCD3-I量表进行评估,以数字剪影血管造影(DSA)或CT血管成像(CTA)为金标准评估颅内动脉狭窄程度以预警脑梗... 目的 分析经颅彩色多普勒超声(TCCS)联合ABCD3-I评估短暂性脑缺血发作(TIA)后脑梗死价值。方法 选取117例TIA患者采用TCCS检查和ABCD3-I量表进行评估,以数字剪影血管造影(DSA)或CT血管成像(CTA)为金标准评估颅内动脉狭窄程度以预警脑梗死风险。比较TCCS、ABCD3-I评估风险结果与金标准的符合情况,计算二者联合评估颅内血管狭窄程度的符合率。记录TCCS和ABCD3-I各自评估的风险亚组7 d脑梗死发生率,分析评价TCCS联合ABCD3-I预测TIA后7 d脑梗死效能。结果 TCCS联合ABCD3-I对颅内血管狭窄“无和轻度狭窄”“中度狭窄”“重度狭窄和闭塞”诊断或评估符合率分别为96.43%、89.47%、100%,TCCS联合ABCD3-I诊断或评估总符合率为95.73%(112/117),高于单用ABCD3-I评估符合率(P<0.01)。TCCS联合ABCD3-I诊断脑梗死的曲线下面积为0.946,95%CI为0.876~0.981,均大于TCCS和ABCD3-I单独诊断(P<0.01)。结论 TCCS联合ABCD3-I评估,能有效预测TIA脑梗死发生,有一定的临床价值,值得推广应用。 展开更多
关键词 彩色多普勒超声 短暂性脑缺血 脑梗死 ABCD3-I评分
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颅脑CT灌注成像相关指标与IMT对TIA进展为急性脑梗死的预测价值
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作者 郭艳利 胡示超 秦文宇 《罕少疾病杂志》 2024年第3期19-21,共3页
目的探究颅脑CT灌注成像相关指标与IMT在评估短暂性脑缺血发作(TIA)进展为急性脑梗死中的应用价值。方法收集2021年6月-2023年6月于我院治疗的102例TIA患者临床资料。依照是否发生急性脑梗死分为脑梗死的观察组和非脑梗死的对照组。比较... 目的探究颅脑CT灌注成像相关指标与IMT在评估短暂性脑缺血发作(TIA)进展为急性脑梗死中的应用价值。方法收集2021年6月-2023年6月于我院治疗的102例TIA患者临床资料。依照是否发生急性脑梗死分为脑梗死的观察组和非脑梗死的对照组。比较2组一般资料、颅脑CT灌注成像相关指标、IMT;颅脑CT灌注成像相关指标与IMT对短暂性脑缺血发作患者急性脑梗死的预测价值;分析颅脑CT灌注成像相关指标与IMT的相关关系。结果两组年龄、性别、高血脂、糖尿病、高血压比较差异无统计学意义(P>0.05)。观察组CBV、CBF均低于对照组,MTT、Tmax均高于对照组,差异显著,(P<0.05)。观察组IMT高于对照组,差异显著,(P<0.05)。颅脑CT灌注成像相关指标与IMT对短暂性脑缺血发作患者进展为急性脑梗死的预测价值良好,AUC为0.886,P=0.000,特异度、灵敏度较高,分别为0.904、0.846。CBV、CBF、MTT、Tmax、IMT的阈值分别为3.326ml/100g、33.682ml/min·100g、9.840s、12.562s、1.082mm。颅脑CT灌注成像相关指标CBV、CBF与短暂性脑缺血发作患者IMT呈负相关关系,MTT、Tmax与短暂性脑缺血发作患者IMT呈正相关关系,差异显著,(P<0.05)。结论颅脑CT灌注成像相关指标与IMT对短暂性脑缺血发作患者进展为急性脑梗死有良好的预测价值。颅脑CT灌注成像相关指标与IMT有显著相关性。 展开更多
关键词 颅脑CT灌注成像 短暂性脑缺血 IMT 预测 相关性
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丁苯酞联合银杏叶提取物注射液对老年缺血性脑血管病患者的疗效分析
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作者 侯芳芳 闫立萍 刘晨阳 《国际医药卫生导报》 2024年第3期404-408,共5页
目的探讨丁苯酞联合银杏叶提取物注射液对老年缺血性脑血管病患者的疗效与安全性。方法前瞻性研究,选取2021年3月至2023年1月西安高新医院神经内科诊治的90例老年缺血性脑血管病患者为研究对象,按诊治先后顺序分为对照组和观察组。观察... 目的探讨丁苯酞联合银杏叶提取物注射液对老年缺血性脑血管病患者的疗效与安全性。方法前瞻性研究,选取2021年3月至2023年1月西安高新医院神经内科诊治的90例老年缺血性脑血管病患者为研究对象,按诊治先后顺序分为对照组和观察组。观察组中男性25例,女性20例,年龄67~76(69.72±4.03)岁,在常规治疗的基础上采用丁苯酞联合银杏叶提取物注射液;对照组中男性22例,女性23例,年龄66~78(69.58±4.26)岁,在常规治疗的基础上服用丁苯酞。两组均接受2周治疗,记录并比较治疗后两组患者的血流动力学指标(全血低切黏度、全血高切黏度和血浆黏度)、脑血流指标(脑血管外周阻力和颈动脉舒张期末血流速度)、美国国立卫生研究院卒中量表(NIHSS)以及日常生活活动(ADL)评分,评估临床疗效及治疗期间不良反应发生情况。统计学方法采用χ^(2)检验、t检验。结果治疗后,观察组全血低切黏度、全血高切黏度和血浆黏度均低于对照组[(7.13±1.21)mPa·s比(8.26±1.46)mPa·s、(4.89±0.88)mPa·s比(5.78±1.04)mPa·s、(1.59±0.31)mPa·s比(1.86±0.34)mPa·s],差异均有统计学意义(t=4.00、4.38、3.94,均P<0.05)。治疗后,观察组颈动脉舒张期末血流速度高于对照组,脑血管外周阻力低于对照组[(96.48±5.31)cm/s比(89.46±4.82)cm/s、(1.68±0.23)kPa·s/ml比(1.96±0.25)kPa·s/ml],差异均有统计学意义(t=6.57、5.53,均P<0.05)。治疗后,观察组ADL评分高于对照组,NIHSS评分低于对照组[(69.74±5.19)分比(56.64±5.33)分、(5.12±1.13)分比(8.18±1.45)分],差异均有统计学意义(t=11.81、11.17,均P<0.05)。观察组总有效率高于对照组[91.11%(41/45)比73.33%(33/45)],差异有统计学意义(χ^(2)=4.87,P<0.05)。治疗期间,观察组不良反应总发生率为6.67%(3/45),对照组为8.89%(4/45),差异无统计学意义(χ^(2)=0.16,P>0.05)。结论在老年患者缺血性脑血管病的治疗中,丁苯酞联合银杏叶提取物注射液表现出显著的临床效果,而且具备良好的安全性。 展开更多
关键词 脑缺血 短暂性脑缺血发作 丁苯酞 银杏叶提取物 缺血性脑血管病 老年患者
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血清CysC水平与短暂性脑缺血发作患者颈内动脉狭窄的相关性
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作者 赵沄 《四川生理科学杂志》 2024年第3期642-644,共3页
目的:探讨血清胱抑素C(Cystatin c,CysC)水平与短暂性脑缺血发作(Transient ischemic attack,TIA)患者颈内动脉狭窄的相关性.方法:纳入2019年1月至2022年6月我院收治的170例TIA患者为研究对象,根据脑血管造影检查结果评估颈动脉狭窄发... 目的:探讨血清胱抑素C(Cystatin c,CysC)水平与短暂性脑缺血发作(Transient ischemic attack,TIA)患者颈内动脉狭窄的相关性.方法:纳入2019年1月至2022年6月我院收治的170例TIA患者为研究对象,根据脑血管造影检查结果评估颈动脉狭窄发生情况;并将颈动脉狭窄程度分为轻度狭窄组(n=38)、中度狭窄组(n=40)和重度狭窄组(n=41).收集所有患者基线资料,并在入院后测定患者实验室指标,重点分析血清CysC水平与TIA患者颈内动脉狭窄的相关性.结果:170例TIA患者中有119例患者发生颈动脉狭窄,发生率为70.00%,其中轻度狭窄患者38例,中度狭窄患者40例,重度狭窄患者41例;四组TIA患者性别、吸烟史、饮酒史、年龄、体重指数(Body Mass Index,BMI)、入院时美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分、入院时收缩压(Systolic Blood Pressure,SBP)及入院时舒张压(Diastolic blood pressure,DBP)、血清总胆固醇(Cholesterol,CHO)水平比较,差异无统计学意义(P>0.05);重度狭窄组患者血清CysC水平均高于中度狭窄组及轻度狭窄组,三组间比较,差异有统计学意义(P<0.05).经Logistic回归分析显示,血清CysC水平升高是TIA患者颈动脉狭窄程度加重的风险因子(OR>1,P<0.05).结论:血清CysC水平与TIA患者颈内动脉狭窄密切相关,血清CysC水平升高会加重TIA患者颈内动脉狭窄程度. 展开更多
关键词 短暂性脑缺血 颈内动脉狭窄 血清胱抑素C 相关性
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Neuroprotection of Chrysanthemum indicum Linne against cerebral ischemia/reperfusion injury by anti-inflammatory effect in gerbils 被引量:4
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作者 Ki-YeonYoo In Hye Kim +9 位作者 Jeong-Hwi Cho li Hyeon Ahn Joon Ha Park Jae-Chul Lee Hyun-Jin Tae Dae Won Kim Jong-Dai Kim Seongkweon Hong Moo-Ho Won il Jun Kang 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第2期270-277,共8页
In this study, we tried to verify the neuroprotective effect of Chrysanthemum indicum Linne(CIL) extract, which has been used as a botanical drug in East Asia, against ischemic damage and to explore the underlying m... In this study, we tried to verify the neuroprotective effect of Chrysanthemum indicum Linne(CIL) extract, which has been used as a botanical drug in East Asia, against ischemic damage and to explore the underlying mechanism involving the anti-inflammatory approach. A gerbil was given CIL extract for 7 consecutive days followed by bilateral carotid artery occlusion to make a cerebral ischemia/reperfusion model. Then, we found that CIL extracts protected pyramidal neurons in the hippocampal CA1 region(CA1) from ischemic damage using neuronal nucleus immunohistochemistry and Fluoro-Jade B histofluorescence. Accordingly, interleukin-13 immunoreactivities in the CA1 pyramidal neurons of CIL-pretreated animals were maintained or increased after cerebral ischemia/reperfusion. These findings indicate that the pre-treatment of CIL can attenuate neuronal damage/death in the brain after cerebral ischemia/reperfusion via an anti-inflammatory approach. 展开更多
关键词 nerve regeneration transient cerebral ischemia delayed neuronal death pyramidal neurons inflammatory cytokines neural regeneration
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Effect of restraint stress on depression-like behaviors in rats after transient focal cerebral ischemic injury 被引量:2
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作者 Jun Guo Li Liu +3 位作者 Chao Ma Bo Xu Xiaoli Duan Bairen Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2007年第7期390-394,共5页
BACKGROUND: Restraint stress is a typical psychophysiological stressor. Simulating the early passion and difficulty in walking of patients after attack of stroke meets onset features.OBJECTIVE: To evaluate the effec... BACKGROUND: Restraint stress is a typical psychophysiological stressor. Simulating the early passion and difficulty in walking of patients after attack of stroke meets onset features.OBJECTIVE: To evaluate the effect of restraint stress on depression-like behaviors in rats after transient focal cerebral ischemic injury, and to investigate the feasibility for its being as modeling method of depression model after stroke.DESIGN: A randomized controlled animal experiment.SETTING: Department of Clinical Medicine, Faculty of Aerospace Medicine of the Fourth Military Medical University of Chinese PLA.MATERIALS: Forty-eight male Sprague-Dawley rats, weighing 240 - 270 g, provided by the Experimental Animal Center of the Fourth Military Medical University of Chinese PLA were used in the current study.METHODS: The experiments were carried out in the Faculty of Aerospace Medicine of the Fourth Military Medical University of Chinese PLA between August 2005 and August 2006. ①Experiment intervention: The rats were randomized into middle cerebral artery occlusion-reperfusion (MCAO) +stress group, simple MCAO group, sham-operation + stress group and simple sham-operation group, with 12 rats in each group.Rats in the first two groups were developed into cerebral ischemia/reperfusion models by suture-occluded method. Rats in the MCAO+stress group were modeled and restraint stress scheme was performed. At week 5 after modeling, the rats were placed in self-made restraining tubes, 2 hours/time, once a day, for 2 successive weeks. The common carotid artery, external and internal carotid arteries of rats in the latter two groups were exposed. The stress way of sham-operation+ stress group was the same as that of MCAO+ stress group. ②The neurological status grading and motor performance evaluation (screen test, rota-rod test and balance beam test) were conducted in rats with simple sham-operation group and MCAO group before, 1st and 28^th days after modeling. Depression-like behavior test was performed in the rats of each group by sucrose preference test and open field test at the end of the experiment.MAIN OUTCOME MEASURES: Changes of depression-like behaviors of rats in each group.RESULTS: Forty-eight rats were involved in the experiment. Two rats with meningeal irritation sign were excluded from simple MCAO group, and one rat in the MCAO+stress group died of some unclear causes during the experiments. The other 45 rats entered the stage of finial analysis. ① Depression-like behavior assessment results: The rats in the MCAO+ stress group had a significantly decreased preference for sucrose solution, crossing and rearing scores, and increased immobility duration after the 14-day restraint stress,compared with those in other three groups (all P〈0.05). ②The neurological status grading and motor performance evaluation: There were significant differences in the two indexes of rats in the simple MCAO group before, 1^st and 28^th days after modeling (P〈0.01), while there was no significant difference before and 28^th days after modeling (P〉0.05). There were no significant changes in sham-operation group at each time point (P〉0.05).CONCLUSION: After being exerted restraint stress, the rats with transient focal ischemic injury may show obvious depression-like behaviors. Therefore, restraint stress can be used as a novel animal modeling method for further studying biological mechanism in central nervous system of post-stroke depression animals. 展开更多
关键词 transient focal cerebral ischemia restraint stress depressive disorder RATS
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Pretreated quercetin protects gerbil hippocampal CA1 pyramidal neurons from transient cerebral ischemic injury by increasing the expression of antioxidant enzymes 被引量:9
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作者 Bai Hui Chen Joon Ha Park +13 位作者 Ji Hyeon Ahn Jeong Hwi Cho In Hye Kim Jae Chul Lee Moo-Ho Won Choong-Hyun Lee In Koo Hwang Jong-Dai Kim Il Jun Kang Jun Hwi Cho Bich Na Shin Yang Hee Kim Yun Lyul Lee Seung Min Park 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第2期220-227,共8页
Quercetin(QE; 3,5,7,3′,4′-pentahydroxyflavone), a well-known flavonoid, has been shown to prevent against neurodegenerative disorders and ischemic insults. However, few studies are reported regarding the neuroprot... Quercetin(QE; 3,5,7,3′,4′-pentahydroxyflavone), a well-known flavonoid, has been shown to prevent against neurodegenerative disorders and ischemic insults. However, few studies are reported regarding the neuroprotective mechanisms of QE after ischemic insults. Therefore, in this study, we investigated the effects of QE on ischemic injury and the expression of antioxidant enzymes in the hippocampal CA1 region of gerbils subjected to 5 minutes of transient cerebral ischemia. QE was pre-treated once daily for 15 days before ischemia. Pretreatment with QE protected hippocampal CA1 pyramidal neurons from ischemic injury, which was confirmed by neuronal nuclear antigen immunohistochemistry and Fluoro-Jade B histofluorescence staining. In addition, pretreatment with QE significantly increased the expression levels of endogenous antioxidant enzymes Cu/Zn superoxide dismutase, Mn superoxide dismutase, catalase and glutathione peroxidase in the hippocampal CA1 pyramidal neurons of animals with ischemic injury. These findings demonstrate that pretreated QE displayed strong neuroprotective effects against transient cerebral ischemia by increasing the expression of antioxidant enzymes. 展开更多
关键词 nerve regeneration flavonoids transient cerebral ischemia Cu/Zn superoxide dismutase catalase Mn superoxide dismutase glutathione peroxidase neural regeneration
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三七总皂苷对短暂性前脑缺血大鼠海马区神经元的修复作用实验研究 被引量:1
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作者 杨涛 刘勇 +4 位作者 曹兴华 梁艳山 柯雪茹 陈杰 马晓媛 《陕西医学杂志》 CAS 2023年第7期803-808,共6页
目的:探讨三七总皂苷对短暂性前脑缺血大鼠海马区神经元的修复作用。方法:选择30只SD大鼠,随机分为三七总皂苷组、模型组、假手术组,每组10只。模型组、三七总皂苷组使用四血管闭塞建立短暂性前脑缺血大鼠动物模型。假手术组手术方式同... 目的:探讨三七总皂苷对短暂性前脑缺血大鼠海马区神经元的修复作用。方法:选择30只SD大鼠,随机分为三七总皂苷组、模型组、假手术组,每组10只。模型组、三七总皂苷组使用四血管闭塞建立短暂性前脑缺血大鼠动物模型。假手术组手术方式同三七总皂苷组,不做卡环夹闭、电灼永久性闭塞,仅将右侧颈总动脉、颈内动脉、颈外动脉暴露,之后逐层缝合。三七总皂苷组造模后灌胃给予50 mg/kg三七总皂苷,每天2次,每次间隔12 h,模型组、假手术组灌胃给予等量的0.5%羟甲基纤维素钠。对比三组干预后7、14、28 d的海马神经细胞凋亡、新生神经元数量,对比三组大鼠的学习记忆能力,对比三组干预后7、14、28 d时测量大鼠脑梗死体积及含水量,对比三组DCX/NeuN染色阳性的细胞数量。结果:模型组干预后7、14、28 d的海马神经细胞凋亡明显较三七总皂苷组、假手术组高(均P<0.05);三七总皂苷组干预后7、14、28 d的海马神经细胞凋亡明显较假手术组高(均P<0.05);三七总皂苷组干预后7、14、28 d的海马新生神经元明显较模型组、假手术组高(均P<0.05);干预后7、14、28 d的模型组新生神经元明显较假手术组高(均P<0.05);三七总皂苷组中,随着干预时间延长,海马神经细胞凋亡明显降低,新生神经元明显升高(均P<0.05)。模型组大鼠的潜伏期、错误次数、第1记忆错误次数、第1天学习错误次数、第5天记忆错误次数、第5天学习错误次数明显较三七总皂苷组、假手术组高(均P<0.05),三七总皂苷组大鼠的潜伏期、错误次数、第1天记忆错误次数、第1天学习错误次数、第5天记忆错误次数、第5天学习错误次数明显较假手术组高(均P<0.05)。三七总皂苷组中,随着干预时间延长,第1天记忆错误次数、第1天学习错误次数、第5天记忆错误次数、第5天学习错误次数明显降低(均P<0.05)。模型组的脑梗死体积、含水量明显较三七总皂苷组、假手术组高(均P<0.05)。三七总皂苷组的脑梗死体积、含水量明显较假手术组高(均P<0.05)。三七总皂苷组中,随着干预时间延长,脑梗死体积、含水量明显降低(均P<0.05)。三七总皂苷组的DCX/NeuN染色阳性细胞数量明显较模型组、假手术组高(均P<0.05),模型组明显较假手术组高(P<0.05)。结论:三七总皂苷可促进短暂性前脑缺血大鼠海马区神经元的修复。 展开更多
关键词 三七总皂苷 短暂性前脑缺血 海马 神经元 修复 大鼠
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血管内支架成形术治疗颈动脉狭窄性短暂性脑缺血发作的效果观察
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作者 李铁男 《智慧健康》 2023年第18期141-144,共4页
目的 探究血管内支架成形术治疗颈动脉狭窄性短暂性脑缺血发作的效果。方法 选择2021年5月-2022年5月本院收治的颈动脉狭窄性短暂性脑缺血患者100例,分为观察组(血管内支架成形术)和对照组(常规药物治疗),每组各50例。对比两组间的神经... 目的 探究血管内支架成形术治疗颈动脉狭窄性短暂性脑缺血发作的效果。方法 选择2021年5月-2022年5月本院收治的颈动脉狭窄性短暂性脑缺血患者100例,分为观察组(血管内支架成形术)和对照组(常规药物治疗),每组各50例。对比两组间的神经功能缺损评分、病变狭窄率、生活质量评分、并发症发生情况等。结果 两组治疗前病变狭窄率对比无统计学意义(P>0.05),治疗后观察组低于对照组,差异有统计学意义(P<0.05);观察组社会、环境、躯体、心理评分高于对照组,差异有统计学意义(P<0.05);两组治疗前神经功能缺损评分无意义(P>0.05),治疗后观察组低于对照组,由此可见,患者采取血管内支架成形术治疗模式,神经功能缺损程度得到改善和提升,差异有统计学意义(P<0.05);观察组不良反应1例(2.00%),明显低于对照组的高灌注综合征、皮疹、头晕恶心9例(18.00%),差异有统计学意义(P<0.05)。结论 针对颈动脉狭窄性短暂性脑缺血患者,采用血管内支架成形术治疗,使患者临床疗效和生活质量得到了提升,使神经功能缺损程度得到了改善,防止并发症的发生,值得临床推广。 展开更多
关键词 颈动脉狭窄性短暂性脑缺血 血管内支架成形术 疗效评估
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祛痰治呛方穴位敷贴脑缺血再灌注损伤后吞咽障碍大鼠的作用机制 被引量:2
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作者 华晓琼 李彦杰 +5 位作者 秦合伟 金小琴 任锟 张志鑫 朱博超 王煜普 《中国组织工程研究》 CAS 北大核心 2023年第32期5155-5161,共7页
背景:前期临床研究发现祛痰治呛方穴位敷贴对于改善脑卒中后吞咽障碍患者的吞咽功能有一定疗效,但作用机制不明确。在脑干吞咽中枢,疑核是腹侧区吞咽中枢的主要构成部分,并且能够诱发吞咽动作的出现和吞咽时间的产生,而疑核内谷氨酸受... 背景:前期临床研究发现祛痰治呛方穴位敷贴对于改善脑卒中后吞咽障碍患者的吞咽功能有一定疗效,但作用机制不明确。在脑干吞咽中枢,疑核是腹侧区吞咽中枢的主要构成部分,并且能够诱发吞咽动作的出现和吞咽时间的产生,而疑核内谷氨酸受体、γ氨基丁酸受体、c-fos蛋白等递质与吞咽密切相关。目的:观察祛痰治呛方穴位敷贴对缺血再灌注损伤大鼠疑核内神经递质谷氨酸受体、γ氨基丁酸受体及c-fos蛋白表达的影响,探究祛痰治呛方穴位敷贴治疗短暂性脑缺血再灌注大鼠吞咽障碍的机制。方法:70只SD大鼠随机分为正常组(n=16),缺血再灌注损伤模型组(n=18),贴敷组(n=18),假贴敷组(n=18)。模型组、贴敷组、假贴敷组采用线栓法短暂脑缺血90 min后再灌注进行造模,造模6 h后进行神经功能评分,选取评分为2分的大鼠进入后续实验;造模第2天贴敷组给予祛痰治呛方穴位敷贴治疗,假贴敷组在模型制备的基础上给予无药物贴敷,其余两组正常饲养1个月。记录各组大鼠造模后第2,7,14,30天体质量、吞咽启动反应时间及吞咽次数。治疗4周后,测定各组大鼠的脑组织含水量,采用免疫组化法、RT-PCR、Western blot法检测延髓吞咽中枢疑核处谷氨酸受体1N-甲基-D-天门冬氨酸受体(NMDAR1)、氨基丁酸A型受体α1(GABAA Rα1)和c-fos蛋白的表达。结果与结论:①与正常组相比,模型组、贴敷组和假贴敷组大鼠体质量、1 min内吞咽次数在造模后第14,30天时均减少(P<0.05),吞咽启动反应时间均延长(P<0.05);第30天时,与模型组相比,贴敷组大鼠体质量、吞咽次数增加(P<0.05),吞咽启动时间缩短(P<0.05);②治疗4周后,与模型组相比,贴敷组大鼠脑组织含水量减少(P<0.05);③与模型组相比,贴敷组延髓疑核处氨基丁酸A型受体α1阳性数量、mRNA和蛋白表达增加,但仍低于正常组,1N-甲基-D-天门冬氨酸受体和c-fos阳性数量、mRNA和蛋白表达降低,但仍高于正常组,差异有显著性意义(P<0.05);④结果表明,祛痰治呛方穴位贴敷可以改善脑卒中后吞咽障碍大鼠的吞咽功能,其作用机制可能与改善脑水肿程度,调节吞咽中枢疑核内的神经递质谷氨酸受体、γ氨基丁酸受体和c-fos蛋白等密切相关。 展开更多
关键词 吞咽障碍 短暂性脑缺血再灌注 疑核 脑水肿 氨基丁酸A型受体α1 1N-甲基-D-天门冬氨酸受体 C-FOS
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A novel phenotype of B cells associated with enhanced phagocytic capability and chemotactic function after ischemic stroke 被引量:1
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作者 Rui Wang Huaming Li +5 位作者 Chenhan Ling Xiaotao Zhang Jianan Lu Weimin Luan Jianmin Zhang Ligen Shi 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第11期2413-2423,共11页
Accumulating evidence has demonstrated the involvement of B cells in neuroinflammation and neuroregeneration.However,the role of B cells in ischemic stroke remains unclear.In this study,we identified a novel phenotype... Accumulating evidence has demonstrated the involvement of B cells in neuroinflammation and neuroregeneration.However,the role of B cells in ischemic stroke remains unclear.In this study,we identified a novel phenotype of macrophage-like B cells in brain-infiltrating immune cells expressing a high level of CD45.Macrophage-like B cells chara cterized by co-expression of B-cell and macrophage markers,showed stronger phagocytic and chemotactic functions compared with other B cells and showed upregulated expression of phagocytosis-related genes.Gene Ontology analysis found that the expression of genes associated with phagocytosis,including phagosome-and lysosome-related genes,was upregulated in macrophage-like B cells.The phagocytic activity of macrophage-like B cells was ve rified by immunostaining and three-dimensional reconstruction,in which TREM2-labeled macrophage-like B cells enwrapped and internalized myelin debris after cerebral ischemia.Cell-cell interaction analysis revealed that macrophage-like B cells released multiple chemokines to recruit peripheral immune cells mainly via CCL pathways.Single-cell RNA sequencing showed that the transdiffe rentiation to macrophage-like B cells may be induced by specific upregulation of the transcription factor CEBP fa mily to the myeloid lineage and/or by downregulation of the transcription factor Pax5 to the lymphoid lineage.Furthermore,this distinct B cell phenotype was detected in brain tissues from mice or patients with traumatic brain injury,Alzheimer’s disease,and glioblastoma.Overall,these results provide a new perspective on the phagocytic capability and chemotactic function of B cells in the ischemic brain.These cells may serve as an immunotherapeutic target for regulating the immune response of ischemic stroke. 展开更多
关键词 B cell CHEMOTAXIS immune infiltration immunity ischemic stroke PHAGOCYTOSIS single-cell RNA sequencing transcription factor transcriptome transient cerebral ischemia/reperfusion
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CT冠脉成像联合血清IMA、TRPM7在缺血性心肌病诊断中的应用价值 被引量:1
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作者 庄琰 赵森 +2 位作者 张进 任文妍 杜森 《中国CT和MRI杂志》 2023年第8期57-59,共3页
目的分析CT冠脉成像(CTA)联合血清缺血修饰白蛋白(IMA)、瞬时受体电位M7(TRPM7)在缺血性心肌病(ICM)诊断中的应用价值。方法收集2021年2月-2022年2月在我院治疗的ICM患者146例即为ICM组,根据纽约心脏病学会(NYHA)分级分为轻度组45例、... 目的分析CT冠脉成像(CTA)联合血清缺血修饰白蛋白(IMA)、瞬时受体电位M7(TRPM7)在缺血性心肌病(ICM)诊断中的应用价值。方法收集2021年2月-2022年2月在我院治疗的ICM患者146例即为ICM组,根据纽约心脏病学会(NYHA)分级分为轻度组45例、中度组54例、重度组47例,入院后行CTA检查;同期选择本院正常体检健康者140例作为对照组。酶联免疫吸附法(ELISA)检测血清IMA、TRPM7的表达水平;采用受试者工作特征曲线(ROC)评估血清IMA、TRPM7水平对ICM的诊断价值。采用四格表评估CTA联合血清IMA、TRPM7水平对ICM的诊断效能。结果与对照组相比,ICM组患者血清IMA、TRPM7水平较高(P<0.05)。重度组的IMA、TRPM7表达水平显著高于中度组和轻度组,中度组高于轻度组(P<0.05)。相关性分析结果显示,ICM组患者血清中IMA的表达水平与TRPM7呈正相关关系(P<0.05)。ROC曲线显示,血清IMA、TRPM7水平联合诊断的AUC高于IMA、TRPM7单独诊断的AUC值(P<0.05);四格表计算显示,CTA联合IMA、TRPM7诊断ICM的准确度为92.18%,其敏感度为98.38%,特异性为38.58%,其中三者联合诊断敏感度高于CTA、IMA、TRPM7单独诊断的敏感度(P<0.05)。结论ICM患者血清中IMA、TRPM7表达水平升高,CTA联合IMA、TRPM7可明显提高ICM诊断的价值。 展开更多
关键词 缺血性心肌病 CT冠脉成像 缺血修饰白蛋白 瞬时受体电位M7
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