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血运重建术对急性心肌梗死患者心脏胶原重塑的影响
引用本文:彭林林,吴强,杨天和,张陈匀,张晓丽,黄山,周晓泉. 血运重建术对急性心肌梗死患者心脏胶原重塑的影响[J]. 贵州医药, 2010, 34(1): 11-13
作者姓名:彭林林  吴强  杨天和  张陈匀  张晓丽  黄山  周晓泉
作者单位:湖南省湘西自治州人民医院心内科,416000;贵州省人民医院心内科,贵阳,550002;贵州省临床检验中心,贵阳,550002
基金项目:贵州省科技基金资助项目(2003-3043);;贵州省高层次人才特助经费资助项目[黔人领函(2005)14]
摘    要:目的评价血运重建干预对急性心肌梗死(AMI)后心脏胶原重塑的影响。方法选择在我院2005—2007年住院的AMI患者65例,依据不同干预方法分为常规治疗组(20例)和血运重建组(45例),48倒健康体检者为正常对照组。采用酶联免疫法测定对照组和所有AMI患者在发病后1周、3个月及6个月时点的血清Ⅰ型前胶原羧基端肽(PⅠCP)、Ⅲ型前胶原(PCⅢ),并进行组间和组内的比较。结果f1)1与正常对照组比较,常规治疗组和血运重建组(1周和3个月时点的PⅠCP除外)PⅠCP和PCⅢ均有显著升高。(2)2与常规治疗组比较,血运重建组各时点的PⅠCP和1周时点的PCⅢ显著降低。(3)常规治疗组各时点和血运重建组各时点的PⅠCP/PCⅢ比值均低于对照组,血运重建组6个月时点PⅠCP/PCIB比值高于本组1周和3个月时点。结论AMI后胶原代谢亢进,参与了心脏胶原重塑,血运重建干预可降低AMI后的血清PⅠCP和PCⅢ含量.对胶原重塑有一定的抑制作用。

关 键 词:心肌梗死  胶原重塑  血运重建

Effect of revascularization on heart collagen remodeled in patients with acute myocardial infarction
Peng Lin-lin,Wu Qiang,Yang Tian-he,Zhang Chen-yun,Zhang Xiao-li,Huang Shan,Zhou Xiao-quan. Effect of revascularization on heart collagen remodeled in patients with acute myocardial infarction[J]. Guizhou Medical Journal, 2010, 34(1): 11-13
Authors:Peng Lin-lin  Wu Qiang  Yang Tian-he  Zhang Chen-yun  Zhang Xiao-li  Huang Shan  Zhou Xiao-quan
Affiliation:Peng Lin-lin,Wu Qiang,Yang Tian-he,Zhang Chen-yun,Zhang Xiao-li,Huang Shan,Zhou Xiao-quan.Department of Cardiology,Guizhou Provincial People's Hospital,Guiyang 550002,China. Guizhou Provincial Center for Clinical Laboratory,China.
Abstract:Objective To evaluate the effect of revascularization on heart collagen remodeled patients with acute myocardial infarction (AMI). Methods According to the different therapies,65 patients with AMI were randomly divided into 2 groups which were conventional therapy group (n=20) and revascularization group (n=45). 48 healthy persons constituted the normal control group. The serum of concentration of PICP and PCIII were measured by Elisa on the 1 week,the 3 months and the 6 months after AMI. Results In compari...
Keywords:Myocardial infarction Collagen remodeled Revascularization  
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