血清hs-CRP和IL-6浓度与脑白质病变的相关性
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Circulating hs-CRP and IL-6 are Associated with White Matter Lesion
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    摘要:

    目的 探讨血清高敏C反应蛋白(hs-CRP)和白细胞介素6(IL-6)浓度与脑白质病变的相关性。方法选取安庆市第一人民医院2011年12月至2014年5月神经内科住院的无症状性腔隙性脑梗死和头晕患者378例,其中确诊脑白质病变(WML) 166例。根据头颅磁共振(MRI)所见,按Fazekas分级标准将166例患者分为WML0级组72例、WML1级组55例、WML2级组39例,比较三组患者年龄、性别、吸烟史、冠心病史、收缩压、舒张压、总胆固醇、低密度脂蛋白、血糖、hs-CRP及IL-6的差异。结果 与WML0级组比较,WML2级组患者的年龄、冠心病史、收缩压、舒张压、总胆固醇、hs-CRP和IL-6明显增高(P<0.05);与WML1级组比较,WML2级组患者的年龄、冠心病史、收缩压、舒张压、hs-CRP和IL-6明显增高(P<0.05),提示年龄、冠心病史、收缩压、舒张压、总胆固醇均为WML的相关危险因素。进一步剔除年龄、冠心病史、血压等因素,多因素回归分析显示,hs-CRP与WML程度相关(OR=1.480,95%CI为1.030~1.850,P0.032),IL-6与WML程度相关(OR=1.395,95%CI为1.002~1.607,P0.040)。结论 hs-CRP和IL-6水平与WML的严重程度成正相关。

    Abstract:

    Aim To explore the association between circulating high sensitivity C-reactive protein (hs-CRP),interleukin-6 (IL-6) and white matter lesion (WML). Methods In 378 patients with asymptomatic lacunar infarction or dizziness,consecutively admitted to the Department of Neurology of the First People's Hospital of Anqing from Dec.2011 to May.2014,the data including their hs-CRP and IL-6 levels and brain MRI scanning were retrospectively analyzed. Among them 166 patients were finally diagnosed to have WML. The severity of WML in the white matter was classified into three groups according to Fazekas' standard: WML0 level group (72 cases),WML1 level group (55 cases) and WML2 level group (39 cases). The differences were compared between the three groups in age,gender,history of smoking,history of coronary heart disease,blood cholesterol and low density lipoprotein levels,systolic blood pressure,diastolic blood pressure,blood glucose,hs-CRP and IL-6. Results In the WML2 level group the patient's age,history of coronary heart disease,systolic blood pressure,diastolic blood pressure,total cholesterol,hs-CRP and IL-6 were significantly increased,compared with WML0 level group,there were significant differences (P<0.05). Compared with WML1 level group,the patient's age,history of coronary heart disease,systolic blood pressure,diastolic blood pressure,CRP and IL-6 in the WML2 level group had statistically significant difference (P<0.05),implying that age,history of coronary heart disease,systolic blood pressure,diastolic blood pressure and total cholesterol were all the risk factors for WML. Advanced analysis using binary Logistic regression demonstrated that statistical difference still existed between the three groups in hs-CRP and IL-6 level even if rejecting the factors of age,history of coronary artery disease,cholesterol and blood pressure. Multivariate regression analysis showed that hs-CRP was correlated with the degree of WML (OR=1.480,95%CI was 1.030~1.850,P0.032) and IL-6 was correlated with the degree of WML (OR=1.395,95%CI was 1.002~1.607,P0.040). Conclusion Hs-CRP,IL-6 levels and the severity of WML are positively correlated.

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黄 敬,操礼琼,张良兵,何 玮,刘李军,余尧红.血清hs-CRP和IL-6浓度与脑白质病变的相关性[J].中国动脉硬化杂志,2015,23(08):825~828.

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  • 收稿日期:2015-02-16
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  • 在线发布日期: 2015-07-21