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小儿病毒性脑炎脑脊液可溶性细胞粘附分子-1的变化及其意义 被引量:3

Dynamic changes of the soluble cellular adhesion mole-cules-Ⅰ in cerebrospinal fluid in children with the virus encephalitis
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摘要 为了探讨病毒性脑炎患儿脑脊液 (CSF)的可溶性细胞粘附分子 -1(sICAM -1)的变化及其临床意义 ,在进行脑脊液常规、生化检查的基础上 ,采用酶联免疫吸附试验对22例病毒性脑炎患儿在不同时期 (急性期、恢复期 )的脑脊液进行sICAM -1水平的测定 ,并进行分析对比。结果 :病毒性脑炎患儿急性期脑脊液的sICAM -1水平(4.16±1.97ng/ml)明显高于对照组(1.24±0.11ng/ml) ,P<0.001 ,且脑脊液WBC数与sICAM -1水平呈正相关 (r=0.842,P<0.001) ;sICAM -1水平与病情危重评分得分呈负相关 (r= -0.991,P<0.001)。恢复期脑脊液的sICAM -1水平(1.55±0.52ng/ml)明显低于急性期(4.16±1.98ng/ml) ,P<0.001 ,但与对照组(1.24±0.11ng/ml)比较差异无显著性 ,P>0.05。提示病情越重 ,脑脊液sICAM -1水平越高 ,随着病情的恢复 ,脑脊液sICAM -1水平含量逐渐降低 ;病毒性脑炎脑脊液的sICAM -1水平对判断疾病严重程度和预后具有重要的指导意义。
出处 《临床儿科杂志》 CAS CSCD 北大核心 2003年第7期414-415,共2页 Journal of Clinical Pediatrics
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