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血清IL-6、TNF-a和SAA水平变化在急性冠脉综合征发病过程中的意义
引用本文:陈文思,李刚,吴玉叶. 血清IL-6、TNF-a和SAA水平变化在急性冠脉综合征发病过程中的意义[J]. 热带医学杂志, 2006, 6(11): 1207-1208
作者姓名:陈文思  李刚  吴玉叶
作者单位:中山大学附属第三医院检验科,广州,510630;中山大学附属第三医院感染科,广州,510630
摘    要:目的探讨急性冠脉综合征(ACS)患者血清白介素-6(IL-6)、肿瘤坏死因子-a(TNF-a)和血清淀粉样蛋白A(SAA)水平变化及临床意义。方法90例ACS患者分成急性心肌梗死(AMI)、不稳定型心绞痛(UAP)、稳定型心绞痛(SAP)三组,50例健康体检人群作为正常对照组,采用酶联免疫吸附试验(ELISA)测定四组血清IL-6、TNF-a、SAA水平。结果三组的ACS患者血清IL-6、TNF-a、SAA水平明显高于正常对照组(P<0.01),其中IL-6和SAA水平在AMI、UAP、SAP三组间均有明显差异(P<0.05)。结论血清IL-6、TNF-a、SAA与ACS患者发病过程的炎症反应关系密切,此三项指标可为临床诊断ACS和分型诊断提供重要依据。

关 键 词:白介素-6  肿瘤坏死因子-a  血清淀粉样蛋白A  冠脉综合征
文章编号:1672-3619(2006)11-1207-02
收稿时间:2006-08-13
修稿时间:2006-09-20

Clinical Significance of Changes of Serum IL-6,TNF-a and SAA Levels in Patients with Acute Coronary Syndrome
CHEN Wen-si,LI Gang,WU Yu-ye. Clinical Significance of Changes of Serum IL-6,TNF-a and SAA Levels in Patients with Acute Coronary Syndrome[J]. Journal Of Tropical Medicine, 2006, 6(11): 1207-1208
Authors:CHEN Wen-si  LI Gang  WU Yu-ye
Abstract:Objective To investigate the clinical significance of changes of serum Interleukin-6,Tumor necrosis factor-alpha and Serum Amyloid A levels in Acute coronary Syndrome(ACS).Methods 90 cases of ACS were divided into AMI,UAP and ACS three groups.50 healthy people were used as control.The serum levels of IL-6,TNF-alpha and SAA were measured by ELISA.Results The levels of TL-6,TNF-a and SAA in ACS were obviously higher than those of control(P<0.01).The levels of IL-6 and SAA in AMI,UAP and SAP were significantly different from each other(P<0.05).Conclusion The serum IL-6,TNF-alpha and SAA levels were related with reaction of inflammation in the course of ACS and could be used as markers clinical diagnosis of ACS.
Keywords:interleukin-6  tumor necrosis factor-alpha  serum amyloid A  acute coronary syndrome
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