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目的研究同型半胱氨酸(Hcy)水平与缺血性脑血管病的关系。方法选取2012年2月~2014年7月本院收治的患者165例，依据病情分为脑梗死组、一次性脑缺血发作(TIA)组和对照组，用荧光偏正分析法分别测定脑梗死组，一过性脑缺血发作组和正常对照组的血浆Hcy水平。比较三组血浆同型半胱氨酸水平。结果脑梗塞组、短暂性脑缺血发作组与正常对照组比较，血浆Hcy水平差异有高度统计学意义(0.05)。结论高同型半胱氨酸1是缺血性脑血管病的独立危险因素。“,”Objective To study the relationship between the level of homocysteine (Hcy) and ischemic cerebrovascular disease. Methods From 2012.02 to 2014.07, 165 cases of patients in our hospital were selected and treated, according to the disease state, these patients were divided into cerebral infarction group, by using the method of fluorescence, the level of homocysteine (Hcy) of cerebral infarction group, the one-time ischemic at ack (TIA) group and the control group were separately measured. Comparing plasma homocysteine levels of three groups. Results Compareing with normal control group, plasma Hcy levels of the cerebral infarction and transient ischemic at ack group are highly statistical y significant dif erence ( 0.05). Conclusion Homocysteine 1 is an independent risk factor for ischemic cerebrovascular disease.