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
2期
145-148
,共4页
血脂异常%炎症%冠心病
血脂異常%炎癥%冠心病
혈지이상%염증%관심병
Dyslipidemias%Inflammation%Coronary disease
目的:探讨冠心病患者肺炎衣原体感染阳性率,炎症因子与血脂的水平。方法:选择我院的冠心病患者50例作为冠心病组,同期在门诊就诊的非冠心病患者33例作为非冠心病对照组,比较两组肺炎衣原体(Cpn) IgG阳性率,血脂和炎症因子的水平。结果:与非冠心病对照组比较,冠心病组血脂中 TC [(3.96±1.07) mmol/L比(4.75±1.33) mmol/L]、TG [(1.05±0.42) mmol/L比(1.67±0.82) mmol/L]、LDL‐C [(2.12±0.47) mmol/L比(2.88±0.86) mmol/L]水平明显升高(P均<0.05);炎性因子C‐反应蛋白[CRP ,(3.85±0.87) mg/L比(5.80±1.60) mg/L]、白介素‐6[IL‐6,(6.50±1.53) mg/L比(15.80±7.62) mg/L]、肿瘤坏死因子‐α[TNF‐α,(5.50±1.60) mg/L比(16.10±2.20) mg/L]明显升高(P均<0.05);冠心病组血清中Cpn IgG抗体阳性率明显高于非冠心病对照组(78.0%比21.2%, P<0.05)。结论:本组冠心病患者肺炎衣原体阳性率炎症因子与血脂水平显著上升,感染与血脂异常可能有协同作用,共同引起冠心病发生发展。
目的:探討冠心病患者肺炎衣原體感染暘性率,炎癥因子與血脂的水平。方法:選擇我院的冠心病患者50例作為冠心病組,同期在門診就診的非冠心病患者33例作為非冠心病對照組,比較兩組肺炎衣原體(Cpn) IgG暘性率,血脂和炎癥因子的水平。結果:與非冠心病對照組比較,冠心病組血脂中 TC [(3.96±1.07) mmol/L比(4.75±1.33) mmol/L]、TG [(1.05±0.42) mmol/L比(1.67±0.82) mmol/L]、LDL‐C [(2.12±0.47) mmol/L比(2.88±0.86) mmol/L]水平明顯升高(P均<0.05);炎性因子C‐反應蛋白[CRP ,(3.85±0.87) mg/L比(5.80±1.60) mg/L]、白介素‐6[IL‐6,(6.50±1.53) mg/L比(15.80±7.62) mg/L]、腫瘤壞死因子‐α[TNF‐α,(5.50±1.60) mg/L比(16.10±2.20) mg/L]明顯升高(P均<0.05);冠心病組血清中Cpn IgG抗體暘性率明顯高于非冠心病對照組(78.0%比21.2%, P<0.05)。結論:本組冠心病患者肺炎衣原體暘性率炎癥因子與血脂水平顯著上升,感染與血脂異常可能有協同作用,共同引起冠心病髮生髮展。
목적:탐토관심병환자폐염의원체감염양성솔,염증인자여혈지적수평。방법:선택아원적관심병환자50례작위관심병조,동기재문진취진적비관심병환자33례작위비관심병대조조,비교량조폐염의원체(Cpn) IgG양성솔,혈지화염증인자적수평。결과:여비관심병대조조비교,관심병조혈지중 TC [(3.96±1.07) mmol/L비(4.75±1.33) mmol/L]、TG [(1.05±0.42) mmol/L비(1.67±0.82) mmol/L]、LDL‐C [(2.12±0.47) mmol/L비(2.88±0.86) mmol/L]수평명현승고(P균<0.05);염성인자C‐반응단백[CRP ,(3.85±0.87) mg/L비(5.80±1.60) mg/L]、백개소‐6[IL‐6,(6.50±1.53) mg/L비(15.80±7.62) mg/L]、종류배사인자‐α[TNF‐α,(5.50±1.60) mg/L비(16.10±2.20) mg/L]명현승고(P균<0.05);관심병조혈청중Cpn IgG항체양성솔명현고우비관심병대조조(78.0%비21.2%, P<0.05)。결론:본조관심병환자폐염의원체양성솔염증인자여혈지수평현저상승,감염여혈지이상가능유협동작용,공동인기관심병발생발전。
Objective:To explore the Chlamydia pneumoniae (Cpn) immunoglobulin (Ig) G positive rate , inflamma‐tory factors and blood lipid levels in patients with coronary heart disease (CHD) .Methods :A total of 50 CHD patients hospitalized in our hospital were selected as CHD group ,and 33 non‐CHD patients visited to outpatient clinic in same period were regarded as non‐CHD control group .Blood lipid ,inflammatory factor levels ,and positive rate of Cpn IgG were compared between two groups .Results :Compared with non‐CHD control group ,there were significant rise in levels of TC [ (3.96 ± 1.07) mmol/L vs .(4.75 ± 1.33) mmol/L] ,TG [ (1.05 ± 0.42) mmol/L vs .(1.67 ± 0.82) mmol/L] and LDL‐C [ (2.12 ± 0.47) mmol/L vs .(2.88 ± 0.86) mmol/L] , P < 0.05 all ;significant rise in levels of inflammatory factor :C reactive protein [CRP ,(3.85 ± 0.87) mg/L vs .(5.80 ± 1.60) mg/L] ,interleukin‐ 6 [IL‐6 ,(6.50 ± 1.53) mg/L vs .(15.80 ± 7.62) mg/L] and tumor necrosis factor‐α [TNF‐α ,(5.50 ± 1.60) mg/L vs .(16.10 ± 2.20) mg/L] in CHD group , P < 0.05 all ;positive rate of serum Cpn IgG in CHD group was significantly higher than that of non‐CHD control group (78.0% vs .21.2% ,P < 0.05) .Conclusion : In present study ,positive rate of serum Cpn IgG ,inflammatory factor and blood lipid levels significantly rise in CHD patients ; Chlamydia pneumoniae infection and dyslipidemia may have a synergistic effect ,cause occurrence and development of CHD in common .