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老年急性冠脉综合征患者炎症负荷指标与可溶性CD40L表达分析
引用本文:张彤,刘小青,范谦,王真.老年急性冠脉综合征患者炎症负荷指标与可溶性CD40L表达分析[J].山东医药,2010,50(8):16-17.
作者姓名:张彤  刘小青  范谦  王真
作者单位:1. 北京世纪坛医院,北京,100038
2. 首都医科大学附属北京朝阳医院
基金项目:国家自然科学基金资助项目 
摘    要:目的分析老年急性冠脉综合征(ACS)患者炎症负荷指标与可溶性CD40配体(CD40L)表达的相关性。方法连续选择近期来我院就诊的老年胸痛患者149例,均接受选择性冠状动脉造影检查,结合临床表现分为急性心肌梗死组(AMI,39例)、不稳定型心绞痛组(UAP,45例)、稳定型心绞痛组(SAP,30例)和排除冠心病组(对照组,35例),同时抽血检测血清CD40L和高敏C反应蛋白(hsCRP)水平。结果老年UAP和AMI患者血清CD柏L和hsCRP水平均高于SAP组和对照组(P均〈0.05~0.01),老年ACS患者血清CD40L和hsCRP水平存在明确相关性(P〈0.01)。结论老年ACS患者存在显著的炎症负荷指标与可溶性CD40L水平增高,两者血清浓度表达明显相关;CD40L通路可能是传递炎症负荷信息的重要途径。

关 键 词:冠状动脉疾病  老年人  高敏C反应蛋白  可溶性CD40配体

Aanalysis of inflammatory load index and the expression of soluble CD_(40)L in elderly patients with acute coronary syndrome
ZHANG Tong,LIU Xiao-qing,FAN Qian,WANG Zhen.Aanalysis of inflammatory load index and the expression of soluble CD_(40)L in elderly patients with acute coronary syndrome[J].Shandong Medical Journal,2010,50(8):16-17.
Authors:ZHANG Tong  LIU Xiao-qing  FAN Qian  WANG Zhen
Institution:ZHANG Tong1,LIU Xiao-qing,FAN Qian,WANG Zhen(1 Beijing Shijitan Hospital,Beijing 100038,P.R.China)
Abstract:Objective To analysis the relationship between inflammatory load index and the expression of soluble CD40L in elderly patients with acute coronary syndrome(ACS).Methods One hundred and forty-nine elderly outpatients with chest pain in our hospital were selected,all of which were examined by coronary angiography.According to clinical manifestation,the patients were divided into acute myocardial infarction group(AMI group,n=39),unstable angina pectoris group(UAP group,n=45),stable angina pectoris group(SAP gr...
Keywords:coronary diseases  aged  high sensitivity C-reactive protein  soluble CD40 ligand  
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