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原发性高血压患者血清hs-CRP和ET-1、NO检测的意义
引用本文:张臣,刘翔,邢之华,钟广伟,张丽波,柴晓利.原发性高血压患者血清hs-CRP和ET-1、NO检测的意义[J].医学临床研究,2012(11):2123-2125.
作者姓名:张臣  刘翔  邢之华  钟广伟  张丽波  柴晓利
作者单位:[1]湖南省第二人民医院心血管内科,湖南长沙410007 [2]中南大学湘雅医院中西医结合研究所,湖南长沙410008
摘    要:【目的】探讨原发性高血压(EH)患者血清超敏C反应蛋白(hs-CRP)和内皮素-1(ET-1);一氧化氮(N0)变化的临床意义。【方法】对60例EH患者进行血清hs-CRP和ET-1、NO测定,并与健康对照组作比较分析。【结果】与对照组比较,EH组血清hs-CRP、ET-1明显升高,且随高血压分级升高而逐渐升高(P〈0.01);血浆NO明显降低,且随高血压分级升高而逐渐降低(P〈0.01)。【结论】高血压病与炎症活动及血管内皮功能紊乱有关,血清hs-CRP和ET-1、NO是反映EH患者代谢异常的重要指标,可用于评估其病情的严重程度。

关 键 词:高血压  A液  C反应蛋白质  A液  内皮缩血管肽-1  血液  一氧化氮  A液

Clinical Significance of the Detection of Serum High Sensitivity C-reactive Protein, Endothelin-1 and Nitric Oxide in Patients with Essential Hypertension
Institution:ZHANG Chen, LIU Xiang, XING Zhi-hua,et al (Department of Cardiology, Second People's Hospital of Hunan Province, Changsha 410007, China )
Abstract:Objective] To explore the clinical significance of the changes of serum high sensitivity C-reac- tive protein ( Hs-CRP), endothelin-1 (ET-1) and nitric oxide (NO) in patients with essential hypertension (EH). Methods] The levels of serum hs-CRP, ET-1 and NO in 60 EH patients were measured and compared with those of healthy control group. Results] Compared with control group, the levels of serum hs-CRP, ET- 1 and NO in EH group obviously increased, and gradually elevated with the increasing of EH grade( P 0.01). The NO level obviously decreased, and reduced with the increasing of EH grade (P〈 0. 01). Conclusion]Hypertension is related to inflammation and vascular endothelium. Serum hs-CRP, ET-1 and NO are the important indicators of metabolic disorder of EH patients, and can be used to evaluate the severity of the illness in such patients.
Keywords:hypertension/BL  c-reactive protein/BL  endothelin-1/BL  nitric oxide/BL
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