首页 | 本学科首页   官方微博 | 高级检索  
     

系统性红斑狼疮抗活化的蛋白C研究
引用本文:沈明,林浩杰,石晓红. 系统性红斑狼疮抗活化的蛋白C研究[J]. 医学检验与临床, 2008, 19(4)
作者姓名:沈明  林浩杰  石晓红
作者单位:山东省千佛山医院,山东济南,250014;济南市血液中心,山东济南,250014
摘    要:目的了解抗活化的蛋白C(APCR)在系统性红斑(SLE)患者中的发生情况,并进一步探讨SLE患者发生血栓的机制。方法采用APG-KPTT法,ELISA法和PTT-LA法分别对36例SLE患者及20例正常对照(NC)进行APCR、抗心磷脂抗体(ACA)和狼疮抗凝物(LA)检测。结果SLE患者APCR阳性率(58%)明显高于NC组(5%)(P<0.005),APCR阳性患者中血栓发生率(27.6%)明显高于APCR阴性患者(4.8%)(P<0.01),患者LA阳性率(22%)明显高于对照组(0/10)(P<0.05),患者ACA-IgG及IgM明显高于对照组(P<0.05),而IgA与对照组差异不显著(P>0.05),LA阳性组中的APCR阳性率(90.9%)明显高于LA阴性组(53.8%)(P<0.05),ACA阳性组中的APCR阳性率(64.7%)与ACA阴性组(60.6%)未发现明显相关性(P>0.05)。结论APCR在国人SLE患者中有较高的发生率且与LA有明显相关性。APCR可能是SLE患者诱发血栓的主要原因之一。

关 键 词:红斑狼疮  系统性  抗体  抗磷脂  血栓形成  抗活化的蛋白C

Study of activated protein C-resistance in systemic lupus erythematosus
Shen Ming,Lin Haojie,Shi Xiaohong. Study of activated protein C-resistance in systemic lupus erythematosus[J]. Medical Laboratory Science and, 2008, 19(4)
Authors:Shen Ming  Lin Haojie  Shi Xiaohong
Affiliation:Shen Ming; Lin Haojie; Shi Xiaohong(Qianfoshan hospital of Shandong province 250014);
Abstract:Objective To know the occurrence of activated protein C resistance(APCR)in Chinese patients with systemic lupus erythematosus(SLE)and investigate the occurring mechanism of thrombosis in SLE.Methods APC-KPTT assay,ELISA and PTT-LA methods were used respectively to detect APCR,anticardiolipin antibodies(ACA)and lupus anticoagulants(LA)in 36 patients with SLE and 20 normal controls(NC).Results The incidence of APCR in SLE(58%)was significantly higher than that in NC group(5.0%)(P<0.005),the incidence of th...
Keywords:Lupus erythematosus  systemic  Antibodies  antiphospholipid  Thrombosis  Activated protein C resistance
本文献已被 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号