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用放免法测定98例中风病人的血浆内皮素(ET)含量在不同病情、病程时期的动态变化。结果发现ITA与脑供血不足患者ET水平明显高于对照组(P<0.05);脑梗塞患者急性期及恢复期ET水平均较对照组有显著差异(P<0.01),且梗塞范围越大ET水平增高越显著;SAH病人发病后1周ET水平迅速上升高达数倍,4周后即降至原有水平。结果表明ET参与了中风的发生与发展,是引起缺血损伤和脑血管痉挛的重要因素。
The radioimmunoassay was used to determine the dynamic changes of plasma endothelin (ET) in 98 patients with stroke in different stages and duration of disease. The results showed that the level of ET in patients with ITA and cerebral insufficiency was significantly higher than that in the control group (P <0.05). The acute and convalescent ET levels in patients with cerebral infarction were significantly different from those in the control group (P <0.01) The larger the range, the more significant the ET level increased. The level of ET in the patients with SAH increased rapidly several times one week after the onset of SAH, and dropped to the original levels after 4 weeks. The results show that ET is involved in the occurrence and development of stroke and is an important factor that causes ischemic injury and cerebral vasospasm.