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冠心病患者炎症反应与内皮功能损伤的关系
引用本文:杨海玉,曾玉杰,苗立夫,黄占军.冠心病患者炎症反应与内皮功能损伤的关系[J].医学理论与实践,2002,15(7):747-748.
作者姓名:杨海玉  曾玉杰  苗立夫  黄占军
作者单位:1. 广东省江门市中心医院心内科,529071
2. 华中科技大学附属同济医学院心血管病研究所,武汉
摘    要:目的:探讨C-反应蛋白,纤维蛋白原及血管假性血友病因子间的关系。方法:检测急性心肌梗死(AMI)组,心绞痛(AP)组,正常对照(CTL)组各30例的血清C-反应蛋白、纤维蛋白原、血管假性血友病因子水平。结果:AMI组的血C-反应蛋白,纤维蛋白原、血管假性血友病因子均高于AP组和CTL组(P值均<0.05)。AP组3个指标高于CTL组(P值均<0.05)。C-反应蛋白、纤维蛋白原、血管假性血友病因子浓度间彼此正直线相关(P值均<0.01)。结论:①C-反应蛋白、纤维蛋白原在冠心病发生、发展中起重要作用。②炎症反应通过损伤内皮细胞的功能而起作用,并与冠心病的严重程度有关。

关 键 词:C-反应蛋白  纤维蛋白原  血管假性血友病因子  心绞痛  急性心肌梗死
修稿时间:2002年2月10日

The Relationship between Inflammation and Endothelia Dysfunction Patients with Coronary Heart Disease
YANG Haiyu,ZENG Yujie,MIAO Lifti,HUANG Zhanjun,The Central Hospital of Jiangmen,Guangdong , The Institute of Cardiovascular System Diseases,Tongji Medical College,Huazhong University of Science and Technology,Wuhan.The Relationship between Inflammation and Endothelia Dysfunction Patients with Coronary Heart Disease[J].The Journal of Medical Theory and Practice,2002,15(7):747-748.
Authors:YANG Haiyu  ZENG Yujie  MIAO Lifti  HUANG Zhanjun  The Central Hospital of Jiangmen  Guangdong  The Institute of Cardiovascular System Diseases  Tongji Medical College  Huazhong University of Science and Technology  Wuhan
Institution:YANG Haiyu,ZENG Yujie,MIAO Lifti,HUANG Zhanjun,The Central Hospital of Jiangmen,Guangdong 529071, The Institute of Cardiovascular System Diseases,Tongji Medical College,Huazhong University of Science and Technology,Wuhan
Abstract:Objective:To study the relationship between inflammation and endothelia dysfunction in patients with coronary heart disease.Methods:Blood samples were collected from 30 acute myocardial infarction patients,30 angina pectoris and 30 healthy control subjects.Serum C-reactive protein (CRP)and plasma fibrinogen (Fg)were analyzed by immunonephelometry,von Willebrand factor (VWF) was determined by enzyme-linked immunoadsorbent assay(ELISA) .Results:The levels of CRP,Fg VWF in acute myocardial infarction patients were higher than in angina pectoris patients (all P < 0.01) ,the levels of the three factors in angina pectoris patients were higher than in control group ( P < 0.01), and positively correlated to each other (all P < 0.01). Conclusion: Inflammatory acute phase protein maybe play an important role in atherosclerosis by impaired endothelial function. The severity of coronary heart disease was determined by levels of inflammatory markers.
Keywords:C-reactive protein  Fibrinogen  Von willebrand factor  Angina pectoris  Acute myocardial infarction  
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