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同型半胱氨酸与老年冠心病患者内皮功能的关系
引用本文:陈哲,李春盛,张健,庞宝森,刘喜凤. 同型半胱氨酸与老年冠心病患者内皮功能的关系[J]. 北京医学, 2004, 26(1): 14-17
作者姓名:陈哲  李春盛  张健  庞宝森  刘喜凤
作者单位:首都医科大学附属北京朝阳医院综合科,100020;首都医科大学附属北京朝阳医院综合科,100020;首都医科大学附属北京朝阳医院综合科,100020;首都医科大学附属北京朝阳医院综合科,100020;首都医科大学附属北京朝阳医院综合科,100020
摘    要:目的探讨血清同型半胱胺酸(HCY)与老年冠心病患者内皮细胞损伤的关系.方法对76例行冠状动脉造影的患者检测血清中HCY、一氧化氮(NO)、内皮素~1(ET-1)、循环内皮细胞(CEC)含量,以冠状动脉造影正常者做对照,进行t检验、线性相关分析.结果冠心病组HCY、ET-1、CEC水平均明显高于对照组(P<0.01),NO水平显著低于对照组(P<0.01);从相关分析看,HCY与ET-1、CEC呈正相关,与NO/ET-1呈负相关(P<0.05).结论HCY与内皮细胞分泌NO、ET-1平衡失调有关.

关 键 词:同型半胱胺酸  内皮细胞  冠心病

The relationship between homocysteine and endothelial dysfunction in elderly patients with coronary heart diseases
Chen Zhe,Li Chunsheng,Zhang Jian,et al. The relationship between homocysteine and endothelial dysfunction in elderly patients with coronary heart diseases[J]. Beijing Medical Journal, 2004, 26(1): 14-17
Authors:Chen Zhe  Li Chunsheng  Zhang Jian  et al
Abstract:Objective To investigate the relationship between serum homocysteine (HCY) and endothelial dysfunction in elderly patients with coronary heart diseases.Methods Serum homocysteine and nitric oxide (NO),endothdin 1 (ET 1),circulation endothelial cell (CEC) were measured in 76patients who had received coronary angiography (CAG).The patients with normal CAG were used as control group.The data were analyzed with t test and relative analysis.Results The levels of HCY, ET 1 and CEC in patients with coronary lesions were significantly increased than those in the control group ( P <0.01),while the NO level was significantly lower than the control group ( P <0.01);HCY was positively correlated with ET 1,CEC,while it is negatively correlated with NO/ET 1 ( P <0.05).Conclusions HCY might be related with the imbalance of secreting NO and ET 1 of endothelial cells.
Keywords:Homocysteine Endothelial cell Coronary heart disease
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