摘要目的 探讨急性颅脑损伤患者白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、细胞间黏附分子1(ICAM-1)与神经丝蛋白H磷酸化亚型(pNF-H)及神经元特异性烯醇化酶(NSE)水平的变化和意义.方法 选择急性颅脑损伤患者100例作为观察组,按损伤程度分组(轻、中、重型组),检测血清IL-6、TNF-α、ICAM-1与pNF-H、NSE水平,并与30例健康对照组比较.结果 患者IL-6、TNF-α、ICAM-1与pNF-H、NSE水平均高于健康对照组(均P＜0.05);轻、中、重型颅脑损伤患者上述指标水平差异均有统计学意义(均P＜0.05);IL-6、TNF-α、ICAM-1与pNF-H、NSE水平均呈正相关(均P＜0.05).结论 IL-6、TNF-α、ICAM-1与pNF-H、NSE在急性颅脑损伤的病理过程中起到重要作用,其水平与病情严重程度密切相关.

abstractsObjective To explore the expression and significance of ser(u)m IL-6,TNF-α,ICAM-1,pNF-H and NSE in patients with acute brain injury.Methods 100 patients with acute brain injury were selected and divided into different groups(mild injury,moderate injury,severe injury).The serum levels of IL-6,TNF-α,ICAM-1,pNF-H and NSE were detected.30 healthy persons were selected as healthy control group.Results The serum IL-6,TNF-α,ICAM-1,pNF-H and NSE levels in the patients were higher than those in the healthy control groups(all P＜0.05).The serum levels of them were increased steply with the order of severity(all P＜0.05).IL-6,TNF-α,ICAM-1 were positive correlated with pNF-H and NSE(all P＜0.05).Conclusion The serum levels of IL-6,TNF-α,ICAM-1,pNF-H and NSE were correlated with degree of injury severity.The measurement of them may contribute to predict the severity of brain injury.