北京和南宁年轻人主动脉粥样硬化形态学的比较研究
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国家"七五"医学重点攻关项目


Comparison of Atherosclerotic Lesion of Aorta between Beijing and Nanning Young Adults
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    摘要:

    用组织病理学方法比较研究了241例动脉粥样硬化高发区(北京:104例)和低发区(南宁:137例)15~39岁意外死亡者的主动脉形态学特征。将主动脉内膜分为正常和有Ⅰ~Ⅴ型动脉粥样硬化病变。结果发现北京地区病变总检出率明显高于南宁地区(62.5%对53.1%,p<0.05),其中早期病变(Ⅰ型和Ⅱ型)检出率两地无差异,但中间型病变(Ⅲ型)及斑块(Ⅳ型和Ⅴ型)检出率北京高于南宁(分别为14.4%对8.7%,p<0.05;6.9%对3.4%,p<0.05)。主动脉内膜淋巴细胞检出率北京亦明显高于南宁(26.9%对13.3%,p<0.01),尤以Ⅱ、Ⅲ型病变内膜为甚(分别为27.6%对8.9%,93.5%对75.0%,P均<0.01).表明动脉粥样硬化高低发区之间组织形态学的差异主要是中间型病变及斑块的检出率不同;淋巴细胞在动脉粥样硬化的发生发展中可能起重要作用。

    Abstract:

    Using histopathological method the authors compared the atherosclerotic lesion of the aorta in 241 cases of young adults collected from both high morbidity area of Beijing(104 cases) and low prevalence district of Nanning(137 cases).Causes of death were violence and traffic accident. Victims ages were 15~39 years.Intimas of aortae were divided into normal and type Ⅰ~Ⅴ ofatherosclerotic lesion. The result showed that the total prevalence of all types of atherosclerosis of aorta was significantly higher in Beijing group (62.5%) than in Nanning(53.1%). The detection rate of early lesion(typeⅠ+Ⅱ) was similar in the 2 groups. However, prevalence of intermediate(type Ⅲ) and advanced lesion(type Ⅳ+Ⅴ)in Beijing group was considerably higher than those Nanning (14.4% vs 8.7% and 6.9% vs 3.4%, p<0. 05 respectively). Lymphocytic intiltration in intima was more freguently encounted in type Ⅱand type Ⅲ in Beijing group than in Nanning (27.6% vs 8.9% and 93.5% vs 75.0%,p<0. 01 respectively).No significant difference in lymphocytic infiltration between the 2 groups was found in lesion of type Ⅰ, Ⅳ and Ⅴ. This data indicates that the difference of the atherosclerotic lesion existed in both high morbidity area of Beijing and low prevalence district of Nanning is mainly the different prevalence of intermediate(type Ⅲ) and advanced lesion(type Ⅳ+Ⅴ), and close relationship might exist between lymphocytes and atherosclerosis as well.

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陈忠,邓卓霖,赵培真,李坤雄,唐小玲.北京和南宁年轻人主动脉粥样硬化形态学的比较研究[J].中国动脉硬化杂志,1994,2(5):97~101.

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  • 收稿日期:1994-07-12
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