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冠心病患者载脂蛋白M水平与瘦素和血脂的相关性
引用本文:胡志高,马琼珍,屈晓冰.冠心病患者载脂蛋白M水平与瘦素和血脂的相关性[J].中国热带医学,2010,10(4):458-459.
作者姓名:胡志高  马琼珍  屈晓冰
作者单位:1. 海南省人民医院龙华门诊部急救中心急诊病房,海南海口,570102
2. 中南大学湘雅二医院老年病科,湖南长沙,410011
摘    要:目的探讨冠心病(CHD)患者血清载脂蛋白M(apoM)水平与瘦素(Leptin)和血脂的关系。方法根据冠状动脉造影结果,将120例受试者分为CHD组(73例)和对照组(47例),应用酶联免疫吸附测定法检测受试者血清apoM和Leptin水平。分析apoM与Leptin、甘油三酯、总胆固醇、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白AI、载脂蛋白B、脂蛋白aLP(a)]的相关性。结果73例CHD患者apoM的水平为(10.12±1.79)ug/ml,明显低于健康对照者(11.69±2.02)ug/ml(P0.01);apoM与Leptin、HDL-C呈正相关(P均0.01),与LDL-C、LP(a)呈负相关(P均0.05)。多元逐步回归显示apoM与Leptin的关系最密切。结论apoM可能参与CHD的形成与发展,是抑制动脉粥样硬化的保护性因子。

关 键 词:冠心病  载脂蛋白M  瘦素  血脂

Correlation of level of apolipoprotein M with leptin and lipids in coronary heart disease patients.
HU Zhi-Gao,MA Qiong-Zhen,Qu Xiao-bing.Correlation of level of apolipoprotein M with leptin and lipids in coronary heart disease patients.[J].China Tropical Medicine,2010,10(4):458-459.
Authors:HU Zhi-Gao  MA Qiong-Zhen  Qu Xiao-bing
Institution:. (Emergency Center of Hainan Provincial People's JHospital, Haikou 570102, Hainan ,P. R. China;)
Abstract:Objective To investigate the concentrations of apolipoprotein M (apoM) relating to Leptin and lipids in patients with coronary heart disease (CHD). Methods According to coronary angiography, 73 patients with CHD were enrolled as CHD group and 47 non-CHD patients as control group. The apoM levels IN each group were determined with ELISA. Results The level of apoM in CHD patients (10.12 ±1.79 ug/ml)were significantly lower than the controls(11.69±2.02 ug/ml) (P〈0.01); the levels of apoM were positively correlated with Leptin and HDL-C (both P〈0.01 ), negatively correlated with LDL-C and LP (a)(both P〈0.05). Conclusion ApoM might be associated with the development of CHD,it appears to play a protective role in prevention of atherosclerosis.
Keywords:Coronary heart disease  Apolipoprotein M  Leptin  Lipids  
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