STROK HASTALARININ HOMOSİSTEİN ve CRP DÜZEYLERİNİN İNCELENMESİ

Öz

Giriş ve Amaç: Homosistein ve CRP yüksekliği, endotel disfonksiyonu ve ateroskleroz riskini arttırmaktadır. Yüksek CRP ve homosistein düzeylerinin iskemik strok ve koroner iskemik hastalıklar için bir risk faktörü olduğu öne sürülmektedir. Biz bu çalışmada strok tanısı almış hastaların homosistein ve CRP düzeylerini incelemeyi amaçladık. Materyal ve Metod: Ocak-Haziran 2012 tarihleri arasında Ankara Numune Eğitim ve Araştırma Hastanesi Nöroloji Kliniği’ne başvuran 119 strok tanısı almış hasta ve 48 sağlıklı gönüllü çalışmaya dahil edilmiştir. Alınan kan örneklerinden homosistein düzeyleri HPLC ile, trigliserit, total kolesterol, HDL ve CRP düzeyleri Roche P800 otoanalizöründe, serum ferritin, B12 vitamini ve folat düzeyleri ise Roche Cobas e-601 cihazında çalışıldı. Statistical Package for the Social Sciences (SPSS, version 13.0, Chicago, IL, USA) programı ile veriler değerlendirildi. Bulgular: Strok grubunun homosistein ve CRP düzeyleri sağlıklı kontrol grubuna göre anlamlı derecede yüksekti (p<0.01). Hasta grubunun HDL kolesterol düzeyleri ise kontrol grubuna göre anlamlı derecede düşüktü (p<0.05). Hasta ve kontrol grubu diğer parametreler açısından karşılaştırıldığında istatistiksel olarak anlamlı bir farklılık yoktu. Tartışma: Plazma homosistein ve CRP düzeylerinin serebrovasküler hastalık ile ilişkili olduğu gösterilmiştir. Bu çalışmada strok hastalarının homosistein ve CRP düzeyleri kontrol grubuna göre anlamlı derecede yüksek bulunmuştur. Elde ettiğimiz veriler bize homosistein ve CRP düzeylerinin strok ile ilişkili olduğunu ve bu parametrelerin strok riskini önceden belirlemede kullanılabileceğini düşündürmektedir.

Anahtar Kelimeler

• Homosistein
• CRP
• strok

THE EVALUATION OF PLASMA HOMOCYSTEINE AND CRP LEVELS IN SUBJECTS WITH STROKE

Öz

Background and Aim: Higher homocysteine and CRP levels are risk factors for endothelial dysfunction and atherosclerosis. Several studies have shown that homocysteine and CRP levels are increased in patients with stroke. In this study, we aimed to assess homocysteine and CRP levels in cases with stroke. Materials and Methods: A total of 48 healthy controls and 119 patients diagnosed with stroke in the Neurology Department of Ankara Numune Training and Research Hospital between January and June 2012 were inluded in the study. In the blood samples of all individuals homocysteine levels were determined by HPLC and triglyceride, total cholosterol, HDL and CRP concentrations were measured by Roche P800 otoanalyzer. Serum ferritin, vitamin B12 and folat levels were analyzed by Roche Cobas e-601. Statistical Package for the Social Sciences (SPSS, version 13.0, Chicago, IL, USA) was used to evaluate the data. Results: Levels of homocysteine and CRP were significantly higher in the stroke patients than in the control group (p<0.01). Serum HDL cholesterol concentrations were lower in the stroke patients than in the control group (p<0.05). Other parameters were not significantly different when compared the groups. Conclusions: It is shown that plasma levels of homocysteine and CRP are associated with cerebrovascular diseases. In this study, the concentrations of homocysteine and CRP were higher in patients with stroke. These data suggest that stroke and homocysteine and CRP levels are related. These parameters may be used to establish the risk of cerebrovascular diseases.

Anahtar Kelimeler

• Homocysteine
• CRP
• stroke.

Kaynakça

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