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冠心病患者血清肿瘤坏死因子、白细胞介素-6水平及其关系
引用本文:杜登贵,何海明,施根林. 冠心病患者血清肿瘤坏死因子、白细胞介素-6水平及其关系[J]. 心脏杂志, 2001, 13(3): 173-174. DOI: 10.13191/j.chj.2001.03.11.dudg.003
作者姓名:杜登贵  何海明  施根林
作者单位:武警江苏总队医院心内科,
摘    要:目的 :观察冠心病 (CHD)患者血清肿瘤坏死因子 (TNF)、白细胞介素 - 6 (IL- 6 )的变化与临床意义。方法 :采用放射免疫分析法 (RIA)测定 45例 CHD患者及 30例健康者 (对照组 )血清 TNF,IL- 6水平。结果 :CHD患者血清TNF,IL- 6水平均显著高于对照组 (P<0 .0 1) ,尤以心肌梗死患者为明显 (P<0 .0 1) ;心肌梗死组血清 TNF,IL- 6水平较心肌缺血组显著升高 (P<0 .0 1) ;急性心肌梗死患者血清 TNF,IL- 6水平高于陈旧性心肌梗死患者 (P<0 .0 5 ) ;心肌缺血组心功能 ~ 级患者血清 TNF,IL- 6水平较心功能 ~ 级患者升高显著 (P<0 .0 1) ;血清TNF水平与 IL- 6之间呈明显正相关 (r=0 .73,P<0 .0 1)。结论 :血清 TNF,IL- 6水平与 CHD病情严重程度密切相关 ,TNF,IL- 6可能参与 CHD的发生与发展。

关 键 词:冠状动脉疾病   肿瘤坏死因子   白细胞介素-6
文章编号:1009-7236(2001)03-0173-02
修稿时间:2000-08-09

Study of serum TNF,IL-6levels in patients with coronary heart disease a nd their relationship
DU Denggui,He Haiming,Shi Genlin. Study of serum TNF,IL-6levels in patients with coronary heart disease a nd their relationship[J]. Chinese Heart Journal, 2001, 13(3): 173-174. DOI: 10.13191/j.chj.2001.03.11.dudg.003
Authors:DU Denggui  He Haiming  Shi Genlin
Abstract:AIM:To study the changes of serum tumor necrosis factor(TNF) and in terleukin-6 (IL-6) in patients with coronary heart disease (CHD) and their cli ni cal significance. METHODS:The serum TNF and IL-6 in 45 patients with C HD and in 30 healthy controls were determined by using radioimmunoassay (RIA). RESULTS:The serum TNF and IL-6 levels in patients with CHD were marked l y higher than those in the controls (P<0.01),and especially those in patient s wi th myocardial infarction were more obvious (P<0.01). The serum TNF and IL-6 leve ls in myocardial infarction were much higher than those in myocardial ischemia ( P<0.01). In patients with myocardial infarction,the serum TNF and IL-6 leve ls in AMI patients were higher than those in OMI patients (P<0.05). In myocardial isc hemia patients,the serum TNF and IL-6 level at heart function stages Ⅲ~Ⅳ, wer e higher than those at heart function stages Ⅰ~Ⅱ (P<0.01). The serum TNF le vel was obvious positively correlated with IL-6 (r=0.73,P<0.01). CONC LUSION:The levels of serum TNf and IL-6 are closely related to the severity of CHD. T he study has implied that TNF and IL-6 may contribute to the formation and prog ression of CHD.
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