高血压脑出血患者血清雌二醇、睾酮的变化及临床意义
The serum level of estradiol and testosterone in patients with hypertensive intracerebral hemorrhage and its clinical significance
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摘要: 目的:探讨高血压脑出血患者血清雌二醇、睾酮水平与病情程度及预后的相关性。方法:检测168例高血压脑出血患者(脑出血组)及60例对照组血清雌二醇、睾酮的含量,按美国国立卫生研究院卒中量表标准对患者进行评分,再按病情轻重及病程评分的差值分组比较。结果:男性脑出血组雌二醇和睾酮与对照组差异均有统计学意义(P<0.01和P<0.05),男女脑出血组雌二醇/睾酮比值与对照组差异均无统计学意义(P>0.05)。男性患者轻度病情组血清雌二醇含量较中、重度组升高(PP>0.05)。男性患者少量出血组血清雌二醇和睾酮含量均较中量出血组升高(PP>0.05)。女性脑出血组雌二醇与对照组差异无统计学意义(P>0.05),女性脑出血组睾酮与对照组差异有统计学意义(PPPPP0.05)。男、女性患者显著好转组雌二醇含量均较无变化组及恶化组升高(PPPPPP结论:高血压脑出血患者血清雌二醇、雌二醇/睾酮比值测定有助于判断预后。Abstract: Objective:To investigate the serum levels of estradiol and testosterone in patients with hypertensive intracerebral hemorrhage and their relations with illness severity and prognosis.Methods:The serum levels of estradiol and testosterone in 168 patients with hypertensive intracerebral hemorrhage(cerebral hemorrhage group) and 60 healthy people(control group) were determined.All patients were scored by U.S.National Institutes of Health Stroke Scale,and compared in two groups.Results:The differences of the serum levels of estradiol and testosterone in male between two groups were statistically significant(PPP>0.05).The serum level of estradiol in male patient with mild illness was moderate,and high in severe patients(PP>0.05).The serum levels of estradiol and testosterone in male patients with small amount of bleeding were higher than those in male patients with median amount of bleeding(PP>0.05).The difference of the estradiol serum level in female between two groups was not statistically significant(P>0.05),but for testosteron difference,it was statistically significant(PPPPPP>0.05).Compared with the no change and deterioration patients,the serum levels of estradiol and testosterone and the ratio of estradiol and testosterone in patients with obvious improvement were significantly increased,decreased and incresed,respectively(PPConclusions:The serum level of estradiol and ratio of estradiol and testosterone in patients with hypertensive intracerebral hemorrhage are helpful for judging the disease prognosis.
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Key words:
- intracerebral hemorrhage /
- hypertension/complications /
- estradiol /
- testosterone
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[1] Eliiovich L,Patel PV,Hemphill JC 3 rd.Intracerebral hemorahage[J].Semin Neurol,2008,28(5):657-667. [2] Strom JO,Theodorsson E,Holm L,et al.Different methods for administering 17 β-estradiol to ovariectomized rats result in opposite effects on ischemic brain damage[J].BMC Neurosci,2010,11:39. [3] Nakamura T,Xi G,Keep RF,et al.Effects of endogenous and exogenous estrogen on intracerebral hemorrhage-induced brain damage in rats[J].Acta Neurochir Suppl,2006,96:218-221. [4] Roof RL,Hall ED.Estrogen-related gender difference in survival rate and cortical blood flow after impact-acceleration head injury in rats[J].J Neurotrauma,2000,17(12):1155-1169. [5] 俞红,郑惠民,谢惠君等.急性脑血管病与下丘脑一垂体一性腺轴功能的改变[J].西北国防医学杂志.2000,21(3):207-209. [6] Tomassini V,Pozzilli C.Sex hormones,brain damage and clinical course of Multiple Sclerosis[J].J Neurol Sci,2009,286(1/2):35-39. [7] 王承,万曙,周永庆.雌激素对脑出血后继发性损伤的作用[J].国际神经病学神经外科学杂志,2010,37(6):554-557. [8] 宋先兵,陈天平,陈晓宇,等.17β-雌二醇对雌性去卵巢大鼠缺血性脑损伤的神经保护作用及机制[J].安徽医科大学学报,2010,45(6):763-766. [9] 胡佳丽,高霄飞.雌激素的神经保护机制[J].医学综述,2011,17(15):2253-2256. [10] Hammond J,Le Q,Goodyer C,et al.Testosterone-mediated neuroprotection through the androgen receptor in human primary neurons[J].J Neurochem,2001,77(5):1319-1326. [11] Abbott RD,Launer LJ,Rodriguez BL,et al.Serum estradiol and risk of stroke in elderly men[J].Neurology,2007,68(8):563-568. -

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