心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2015年
1期
29-32
,共4页
心绞痛%半胱氨酸%巨噬细胞集落刺激因子
心絞痛%半胱氨痠%巨噬細胞集落刺激因子
심교통%반광안산%거서세포집락자격인자
Angina pectoris%Cysteine%Macrophage colony-stimulating factor
目的:观察冠心病心绞痛患者血清同型半胱氨酸(Hcy)、巨噬细胞集落刺激因子(M-CSF)、尿酸(UA)、血小板相关指标及微量元素的变化。方法:选择2010年10月~2013年10月本院收治的58例冠心病心绞痛患者为心绞痛组,同期58名体检健康者为健康对照组,比较冠心病患者及健康者的 Hcy、M-CSF、UA、血小板相关指标[血小板分布宽度(PDW),CD61,CD63]及微量元素水平。结果:与健康对照组比较,心绞痛组的血小板相关指标及血清 Hcy、M-CSF、UA、Zn、Fe 水平均明显升高,而血清 Mn 水平则显著降低(P 均<0.05);与稳定型心绞痛患者比较,不稳定型心绞痛患者血清PDW[(13.37±1.61)比(17.86±1.99)],CD61[(45.26±5.11)比(58.40±7.20)],CD63[(14.05 ±1.96)比(18.78±2.95)]及 Hcy[(13.47±1.52)mmol/L 比(21.96±2.23)mmol/L]、M-CSF [(289.73±31.68)pg/ml 比(401.56±48.96) pg/ml]、UA [(287.95±36.49)μmol/L 比(373.45±45.26)μmol/L]、Zn[(15.76±1.84)μmol/L 比(19.55±1.98)μmol/L]、Fe [(12.68±1.50)mmol/L 比(15.71±1.83)mmol/L]水平均显著升高,Mn [(2.21±0.34)μmol/L 比(1.60±0.21)μmol/L]水平显著降低(P 均<0.05),且随着冠脉病变血管支数增加,上述指标(除 Mn 显著降低外)均明显升高(P 均<0.05)。结论:冠心病心绞痛患者血清 Hcy、M-CSF、UA、血小板相关指标及多数微量元素水平显著上升,且其异常程度受心绞痛类型与病变血管支数的影响较大。
目的:觀察冠心病心絞痛患者血清同型半胱氨痠(Hcy)、巨噬細胞集落刺激因子(M-CSF)、尿痠(UA)、血小闆相關指標及微量元素的變化。方法:選擇2010年10月~2013年10月本院收治的58例冠心病心絞痛患者為心絞痛組,同期58名體檢健康者為健康對照組,比較冠心病患者及健康者的 Hcy、M-CSF、UA、血小闆相關指標[血小闆分佈寬度(PDW),CD61,CD63]及微量元素水平。結果:與健康對照組比較,心絞痛組的血小闆相關指標及血清 Hcy、M-CSF、UA、Zn、Fe 水平均明顯升高,而血清 Mn 水平則顯著降低(P 均<0.05);與穩定型心絞痛患者比較,不穩定型心絞痛患者血清PDW[(13.37±1.61)比(17.86±1.99)],CD61[(45.26±5.11)比(58.40±7.20)],CD63[(14.05 ±1.96)比(18.78±2.95)]及 Hcy[(13.47±1.52)mmol/L 比(21.96±2.23)mmol/L]、M-CSF [(289.73±31.68)pg/ml 比(401.56±48.96) pg/ml]、UA [(287.95±36.49)μmol/L 比(373.45±45.26)μmol/L]、Zn[(15.76±1.84)μmol/L 比(19.55±1.98)μmol/L]、Fe [(12.68±1.50)mmol/L 比(15.71±1.83)mmol/L]水平均顯著升高,Mn [(2.21±0.34)μmol/L 比(1.60±0.21)μmol/L]水平顯著降低(P 均<0.05),且隨著冠脈病變血管支數增加,上述指標(除 Mn 顯著降低外)均明顯升高(P 均<0.05)。結論:冠心病心絞痛患者血清 Hcy、M-CSF、UA、血小闆相關指標及多數微量元素水平顯著上升,且其異常程度受心絞痛類型與病變血管支數的影響較大。
목적:관찰관심병심교통환자혈청동형반광안산(Hcy)、거서세포집락자격인자(M-CSF)、뇨산(UA)、혈소판상관지표급미량원소적변화。방법:선택2010년10월~2013년10월본원수치적58례관심병심교통환자위심교통조,동기58명체검건강자위건강대조조,비교관심병환자급건강자적 Hcy、M-CSF、UA、혈소판상관지표[혈소판분포관도(PDW),CD61,CD63]급미량원소수평。결과:여건강대조조비교,심교통조적혈소판상관지표급혈청 Hcy、M-CSF、UA、Zn、Fe 수평균명현승고,이혈청 Mn 수평칙현저강저(P 균<0.05);여은정형심교통환자비교,불은정형심교통환자혈청PDW[(13.37±1.61)비(17.86±1.99)],CD61[(45.26±5.11)비(58.40±7.20)],CD63[(14.05 ±1.96)비(18.78±2.95)]급 Hcy[(13.47±1.52)mmol/L 비(21.96±2.23)mmol/L]、M-CSF [(289.73±31.68)pg/ml 비(401.56±48.96) pg/ml]、UA [(287.95±36.49)μmol/L 비(373.45±45.26)μmol/L]、Zn[(15.76±1.84)μmol/L 비(19.55±1.98)μmol/L]、Fe [(12.68±1.50)mmol/L 비(15.71±1.83)mmol/L]수평균현저승고,Mn [(2.21±0.34)μmol/L 비(1.60±0.21)μmol/L]수평현저강저(P 균<0.05),차수착관맥병변혈관지수증가,상술지표(제 Mn 현저강저외)균명현승고(P 균<0.05)。결론:관심병심교통환자혈청 Hcy、M-CSF、UA、혈소판상관지표급다수미량원소수평현저상승,차기이상정도수심교통류형여병변혈관지수적영향교대。
Objective:To observe the change of serum homocysteine (Hcy),macrophage colony stimulating factor (M-CSF),uric acid (UA),platelet related indexes and trace element levels in coronary heart disease (CHD)pa-tients with angina pectoris.Methods:A total of 58 CHD patients with angina pectoris treated in our hospital from Oct 2010 to Oct 2013 were selected as angina pectoris group,another 58 healthy subjects in same period were en-rolled as healthy control group.Levels of Hcy,M-CSF,UA,platelet related indexes [platelet distribution width (PDW),CD61,CD63]and trace elements were compared between angina pectoris group and healthy control group.Results:Compared with healthy control group,there were significant rise in serum levels of platelet related indexes,Hcy,M-CSF,UA,Zn and Fe,and significant reduction in serum Mn level in angina pectoris group,P <0.05 all;compared with patients with stable angina pectoris,there were significant rise in serum levels of PDW [(13.37±1.61)vs.(17.86±1.99)],CD61 [(45.26±5.11)vs.(58.40±7.20)],CD63 [(14.05±1.96)vs. (18.78±2.95)],Hcy [(13.47±1.52)mmol/L vs.(21.96±2.23)mmol/L],M-CSF [(289.73±31.68)pg/ml vs. (401.56±48.96)pg/ml],UA [(287.95±36.49)μmol/L vs.(373.45±45.26)μmol/L],Zn [(15.76± 1.84)μmol/L vs.(19.55±1.98)μmol/L]and Fe [(12.68±1.50)mmol/L vs.(15.71±1.83)mmol/L],and significant reduction in serum Mn level [(2.21±0.34)μmol/L vs.(1.60±0.21)μmol/L]in patients with unstable angina pec-toris (P <0.05 all).Along with number of coronary diseased vessels increased,serum levels of above indexes signifi-cantly rose except serum Mn level,P <0.05 all.Conclusion:The serum Hcy,M-CSF,UA,platelet related indexes and most trace elements levels significantly rise in CHD patients with angina pectoris,and the abnormal degree is greatly influenced by the angina pectoris type and number of coronary diseased vessels.