尿毒症维持性血液透析患者微炎症状态与脂蛋白(a)的关系
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广西壮族自治区卫生厅医药卫生科研项目(桂卫Z2003014)


Relation between Microinflammatory State and Lipoprotein(a) in Maintained Hemodialysis Patients
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    摘要:

    通过测定尿毒症维持性血液透析患者慢性炎症指标并分析其与脂蛋白(a)的关系,探讨尿毒症的微炎症状态及其对脂蛋白(a)的影响。测定5 0例尿毒症维持性血液透析患者慢性炎症指标血清C反应蛋白、白细胞介素6、肿瘤坏死因子α及脂蛋白(a)水平,分析它们之间的关系,并与30例正常人比较。结果发现,尿毒症组血清C反应蛋白、白细胞介素6、肿瘤坏死因子α及脂蛋白(a)水平分别为4 .5 4±2 .39mg L、130 .6±10 4 .3ng L、1.6 0±0 .6 4μg L和5 71.5±4 4 2 .7mg L ,均明显高于对照组,差异有统计学意义。尿毒症患者血清脂蛋白(a)与C反应蛋白、肿瘤坏死因子α和白细胞介素6呈明显正相关(r值分别为0 .6 2 7、0 .4 86和0 .4 0 4 ,P均<0 .0 1)。结果提示,尿毒症维持性血液透析患者存在微炎症状态,炎症可能与脂蛋白(a)代谢异常密切相关。

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    Aim To explore the microinflammatory state and the effect of microinflammatory response on lipoprotein(a)[Lp(a)] by analyzing chronic inflammatory indices and its correlation with Lp(a) in patients with maintained hemodialysis (MHD). Methods The serum chronic inflammatory indices including C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and Lp(a)were measured in 50 MHD patients and 30 normal controls, the relationship among them was analyzed. Results The serum CRP, IL-6, TNF-α and Lp (a) levels were 4.54±2.39 mg/L, 130.6±104.3 ng/L, 1.60 ±0.64 μg/L and 571.5±442.7 mg/L respectively in MHD group, and all of them were significantly higher in MHD group than those in control group. Lp(a) positively correlated with CRP, TNF-α and IL-6 (r values were 0.627, 0.486 and 0.404 respectively, each p<0.01). Conclusions There is microinflammatory state in MHD patients. Inflammation may correlate to metabolic disorder of Lp(a).

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谢恺庆,杨海波,周红卫,张绍峰,孙安远.尿毒症维持性血液透析患者微炎症状态与脂蛋白(a)的关系[J].中国动脉硬化杂志,2004,12(4):469~470.

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  • 收稿日期:2003-11-10
  • 最后修改日期:2004-04-10
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