系统性免疫炎症指数是急性缺血性中风患者治疗静脉血栓溶解的预后预测指标
Chan-Juan Wei1, Juan-Juan Xue, Xiao Zhou
1Department of Neurology, The Second Hospital of Tianjin Medical University, Tianjin, China.
The neurologist
|August 15, 2023
概括
系统性免疫炎症指数 (SII) 可以预测接受血栓溶解的急性缺血性中风患者的不良结果和早期的神经系统恶化. 较高的基线SII水平与更糟糕的预后和中风严重程度有关.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 生物标志物 生物标志物
背景情况:
- 急性缺血性中风 (AIS) 是导致长期残疾的主要原因.
- 静脉内血栓溶解改善了结果,但存在风险.
- 预测AIS预后的生物标志物对于治疗指导至关重要.
研究的目的:
- 为了确定基线系统性免疫炎症指数 (SII) 是否预测AIS患者治疗静脉血栓溶解的3个月不良预后和早期神经结果.
主要方法:
- 对221名AIS患者进行了回顾性研究,这些患者接受了静脉输血栓溶解治疗.
- 评估的主要终点:功能表现不佳或3个月死亡.
- 评估的二次终点:早期神经系统恶化 (END) 和症状性脑内出血.
- 使用ROC曲线分析,斯皮尔曼相关性和后勤回归来分析SII的预测值.
主要成果:
- 对SII的截止值确定了预测3个月不良预后,3个月死亡和END的预测因素.
- 在SII和中风严重程度 (NIHSS) 之间观察到正相关性.
- 多变量分析显示,SII独立地与3个月的不良预后,3个月的死亡和END相关.
结论:
- 基线SII升高与AIS患者的早期神经系统恶化和不良3个月的结果有关.
- 在接受血栓溶解的AIS患者中,SII显示出作为预后生物标志物的潜力.
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