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幽门螺旋杆菌细胞毒素与急性脑梗死的关系 被引量:6

Correlation between Cytotoxin-Associated Gene-A-Bearing Strains of Helicobacter Pylori and Acute Cerebral Infarction
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摘要 目的:探讨幽门螺旋杆菌细胞毒素(HP-CagA)与急性脑梗死的相关性。方法:100例新发脑梗死患者(脑梗死组)及50例健康对照者(对照组)均行HP-CagA-IgG抗体、中性粒细胞、C-反应蛋白(CRP)、血脂、血纤维蛋白原(Fbg)测定及经颅多普勒检查。结果:脑梗死组血清HP-CagA-IgG抗体阳性率(65%)高于对照组(38%),HP-CagA-IgG抗体阳性的脑梗死患者颈动脉粥样斑块、颈动脉狭窄阳性率及血CRP、血Fbg水平均高于HP-CagA-IgG抗体阴性的脑梗死患者。结论:HP-CagA感染与急性脑梗死的发生有关,可能为脑梗死的又一危险因素。 Objective: To investigate the correlation between cytotoxin-associated gene-A-bearing strains of helicobacter pylori (HP-CagA) and acute cerebral infarction. Methods: 100 patients with new cerebral infarction and 50 healthy individuals (control) were enrolled in this trial.IgG antibody of HP-CagA, neutrophilic granulocyte, C-reactive protein, lipids and fibrinogen of blood were estimated by intracranial Doppler. Results: The positive rate of HP-CagA antibody of patients with cerebral infarction was 65% which was significantly higher than that of the control ( 38 %), The positive rate of carotid stenosis, atheromatous plaque of carotid artery, C-reactive protein and fibrinogen of blood plasma in cerebral infarction patients with positive HP-CagA-IgG antibody were significantly higher than that in the negative. Conclusion: There is an association between HP-CagA infection and acute cerebral infarction, HP-CagA infection probably become another dangerous factor for acute cerebral infarction.
出处 《天津医药》 CAS 北大核心 2006年第7期466-467,共2页 Tianjin Medical Journal
关键词 螺杆菌 幽门 螺杆菌 感染 脑梗死 helicobacter pylori hehcobacter infections brain infarction
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  • 1Sawayama Y,Ariyama I,Hamada M,et al.Association between chronic Helicobacter pylori infection and acute ischemic stroke:Fukuoka Harasanshin Atherosclerosis TriaI(FHAT).Atherosclerosis,2005,178(2):303-309
  • 2Michael R,Armin J,Florian B,et,al.Association between cerebral ischemia and cytotoxin-associated gene-A-bearing strains of helicobacter pylori.Stroke,2004,35:1800-1804
  • 3Sulewska A,Modrzejewski W,Kovalchuk O,et al.Attempts to detect Helicobacter pylori in atherosclerotic plaques.Rocz Akad Med Bialymst,2004,49(Suppl 1):239-241
  • 4Mayr M,Kiechl S,Mendall MA,et,al.Increased risk of atherosclerosis is confined to CagA-positive Helicobacter pylori strains:prospective results from the Bruneck study.Stroke,2003,34:610-615
  • 5Gill R,Kemp JA,Sabin C,et al.Human C-reactive protein increases cerebral infarct size after middle cerebral artery occlusion in adult rats.J Cereb Blood Flow Metab,2004,24(11):1214-1218

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