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维持性血液透析患者血清MMP-2、MMP-9检测的临床意义
引用本文:陈新豪,宋镇,张红,宋艳芳. 维持性血液透析患者血清MMP-2、MMP-9检测的临床意义[J]. 临床和实验医学杂志, 2012, 11(14): 1097-1098
作者姓名:陈新豪  宋镇  张红  宋艳芳
作者单位:1. 石河子大学医学院,新疆,石河子,832000
2. 新疆克拉玛依市中心医院肾内科,新疆,克拉玛依,834000
摘    要:
目的观察维持性血液透析患者血清基质金属蛋白酶-2(MMP-2)、基质金属蛋白酶-9(MMP-9)水平的变化及临床意义。方法应用酶联免疫分析法测定60例维持性血液透析患者及30名健康体检者血清MMP-2、MMP-9的水平。结果维持性血液透析患者血清MMP2水平明显高于健康体检者(P<0.01),而MMP9水平则明显地低于健康体检者(P<0.01)。MMP-2水平与尿素氮和肌酐水平呈正相关(P<0.01),MMP-9水平与尿素氮和肌酐水平呈负相关(P<0.01)。结论检测维持性血液透析患者血清MMP2、MMP9水平的变化对尿毒症病情和预后判断均具有重要的临床价值。

关 键 词:维持性血液透析  基质金属蛋白酶-2  基质金属蛋白酶-9

Study on clinical significance of changes of serum levels of MMP-2 and MMP-9 in patients with maintenance hemodialysis
Affiliation:CHEN Xin-hao1,SONG Zhen2,ZHANG Hong2,et al.1 Shihezi University School of Medicine,Shihezi Xinjiang 832000,China;2 Department of Nephrology,The Center Hospital of Kelamayi,Kelamayi Xinjiang 834000,China
Abstract:
Objective To study the clinical significance of changes of serum levels of matrix metalloproteinase-2(MMP-2) and matrix metalloproteinase-9(MMP-9) in patients with maintenance hemodialysis.Methods Serum levels of MMP-2 and MMP-9(detected with ELISA) were determined in 60 patients with maintenance hemodialysis and 30 healthy controls.Results Serum levels of MMP-2 were significantly higher in patients with maintenance hemodialysis than those of controls(P0.01),while the serum levels of MMP-9 were significantly lower(P0.01).In addition,serum levels of creatinine and urea nitrogen were positively correlated with the activity of MMP-2(P0.01) and negatively correlated with the activity of MMP-9(P0.01).Conclusion Serum levels of MMP-2 and MMP-9 were closely related to process and development of the disease in patients with maintenance hemodialysis and their determination was of prognostic value.
Keywords:Maintenance hemodialysis  Matrix metalloproteinase-2  Matrix metalloproteinase-9
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