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溶栓治疗对急性心肌梗死患者血浆ET-1、hs-CRP、TXA2、NO水平的影响
引用本文:贺青军,罗子幸,余秀兰,王文会,罗智敏.溶栓治疗对急性心肌梗死患者血浆ET-1、hs-CRP、TXA2、NO水平的影响[J].中西医结合心脑血管病杂志,2011,9(4):410-411.
作者姓名:贺青军  罗子幸  余秀兰  王文会  罗智敏
作者单位:广东省佛山市中医院,528000
基金项目:为广东省佛山市卫生局课题
摘    要:目的探讨溶栓治疗对急性心肌梗死(AMI)患者血浆内皮素(ET-1)、超敏C反应蛋白(hs-CRP)、血栓素A2(TXA2)、一氧化氮(NO)水平的影响及其临床意义。方法病例组32例,采用尿激酶溶栓治疗,分别测出溶栓前后再通组和未通组ET-1、NO、hs-CRP、TXA2水平的动态变化。正常对照组测空腹ET-1、NO、hs-CRP、TXA2水平。结果病例组ET-1、hs-CRP、TXA2水平高于正常对照组(P<0.05),NO水平低于正常对照组(P<0.05);溶栓再通组的ET-1、NO、hs-CRP、TXA2水平显著增高,且峰值显著高于溶栓未通组的峰值(P<0.05);再通组ET-1、hs-CRP、TXA2和NO峰值提前,都在溶栓后3 h,而溶栓未通组峰值均为溶栓后5h。结论 ET-1、hs-CRP、TXA2和NO相互作用,参与了AMI的循环炎症反应和再灌注损伤,可作为判断AMI病情及溶栓治疗再通的可能指标。

关 键 词:急性心肌梗死  溶栓  内皮素-1  超敏C反应蛋白  血栓素A2  一氧化氮

Effect of Thrombolytic Therapy on Plasma Endothelin,hs-CRP,TXA2,and NO in Acute Myocardial Infarction
He Qingjun,Luo Zixing,Yu Xiulan,et al Foshan Hospital of Traditional Chinese Medicine,Guangdong.Effect of Thrombolytic Therapy on Plasma Endothelin,hs-CRP,TXA2,and NO in Acute Myocardial Infarction[J].Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease,2011,9(4):410-411.
Authors:He Qingjun  Luo Zixing  Yu Xiulan  Foshan Hospital of Traditional Chinese Medicine  Guangdong
Institution:He Qingjun,Luo Zixing,Yu Xiulan,et al Foshan Hospital of Traditional Chinese Medicine,Guangdong(Foshan 528000)
Abstract:Objective To study the effect of thrombolytic therapy patients on plasma endothelin-1(ET-1),high sensitive C-reactive protein(hs-CRP),thromboxane A2(TXA2),nitric oxide(NO) levels in patients(pts) acute myocardial infarction(AMI).Methods Thirty-two pts with AMI were treated with urokinase,and then divided into recanalization group and non-recanalization group.The levels of plasma ET-1,NO,hs-CRP,TXA2 were measured.Results The levels of plasma ET-1,hs-CRP,TXA2 in treatment group were higher(P<0.05),and NO leve...
Keywords:acute myocardial infarction  thrombolytic therapy  endothelin-1  high sensitive C-reactive protein  thromboxane A2  nitric oxide  
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