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慢性肺心病患者血浆内皮素-1水平的变化及其临床意义
引用本文:张慈心,苗志敏,柳士秀,唐艳秋.慢性肺心病患者血浆内皮素-1水平的变化及其临床意义[J].中华内科杂志,1994(12).
作者姓名:张慈心  苗志敏  柳士秀  唐艳秋
作者单位:青岛医学院附属医院内科,济南军区青岛第一疗养院,烟台市烟台山医院
摘    要:采用放射免疫分析法测定了30例健康人和36例慢性肺心病患者治疗前后的血浆内皮素-1(ET-1)水平,并与血气分析指标做相关分析,结果显示:肺心病组ET-1水平较对照组显著升高(P<0.001),治疗后ET-1平显著下降(与治疗前比,P<0.001),但仍高于对照组(P<0.002)。直线相关分析表明,血浆ET-1与PaO_2和pH值呈显著负相关,与PaCO_2呈显著正相关。提示血浆ET-1可能参与肺心病的病理生理改变,抗ET-1作用的治疗,有可能成为肺心病治疗的一个新途径。

关 键 词:肺心病  内啡肽类  血气分析

A STUDY ON CHANGES OF PLASMA ENDOTELIN-1 LEVEL IN PATIENTS WITH CHRONIC CORPULMONALE
Zhang Ci-xin,Miao Zhi-min,Liu Shi-xiu,et al..A STUDY ON CHANGES OF PLASMA ENDOTELIN-1 LEVEL IN PATIENTS WITH CHRONIC CORPULMONALE[J].Chinese Journal of Internal Medicine,1994(12).
Authors:Zhang Ci-xin  Miao Zhi-min  Liu Shi-xiu  
Abstract:he level of plasma endothelin-1(ET-1 ) was measured with radioimmunoassay in 36 patients withchronic pulmonale before and after treatment. The results showed that ET-1 level was significantly higherin corpulmonale patients(P< 0. 001 ) and decreased significantly after treatment(P<0. 001),but wasstill higher than that in controls(P<0.002).There was significant negative correlation between PaO_2,pH and ET-1 Ievel.A significant positive correlation was found between ET-1 level and PaCO_2. The re-sults suggest that ET-1 may play an important role in the pathophysiological process of chronic cor pul-monale and the drugs which can influence plasma ET-1 level may be used in the treatment of the disease.
Keywords:Pulmonary heart disease Endorphins Blcod gas analysis  
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