稳定型冠心病患者血浆内皮微粒与动脉弹性的关系
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Relationship of Endothelial Microparticles and Arterial Elasticity in Patients with Stable Coronary Artery Disease
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    摘要:

    目的 研究稳定型冠心病患者血浆内皮微粒(EMP)水平与肱踝脉搏波传导速度(baPWV)之间的关系。方法 选择稳定型冠心病患者50例和健康志愿者20例,采用流式细胞术检测两组患者血浆中EMP(CD31/CD42b)水平,同时应用无创动脉硬化检测装置测定baPWV,探讨二者之间的关系。结果 冠心病组患者血浆EMP水平较对照组显著升高(1 748.4±102.1个/微升比847.4±86.4个/微升,P<0.01);冠心病组患者baPWV较对照组增快(1 931.1±328.3 cm/s比1 532.1±147.3 cm/s,P<0.01)。血浆EMP水平与baPWV呈正相关(r=0.42,P<0.01)。以baPWV为因变量的多因素回归分析显示,血浆EMP水平是其独立影响因素。结论 稳定型冠心病患者血浆EMP水平升高,baPWV加快且与EMP水平呈正相关,血浆EMP水平是baPWV的独立影响因素。

    Abstract:

    Aim To investigate the association of endothelial microparticle (EMP) and brachial-ankle pulse wave velocity (baPWV) in patients with stable coronary artery disease (CAD). Methods 50 patients with stable coronary artery disease and 20 healthy volunteers were studied. Flow cytometer was used to measure levels of EMP (CD31/CD42b) in circulation and baPWV was measured to assess the status of arterial elasticity. Results The levels of EMP were higher in patients with stable CAD than that of healthy volunteers (1 748.4±102.1 particles/μL vs 847.4±86.4 particles/μL, P<0.01), and baPWV was faster in patients with stable CAD than that of healthy volunteers (1 931.1±328.3 cm/s vs 1 532.1±147.3 cm/s, P<0.01). There was a positive correlation between the level of EMP and baPWV in stable CAD (r=0.42, P<0.01). Conclusions Patients with stable CAD had higher EMP and faster baPWV than those of healthy volunteers, and there was positive correlation between EMP and baPWV. EMP was an independent influencing factor to arterial elasticity.

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张子新,李超君,余陆娇.稳定型冠心病患者血浆内皮微粒与动脉弹性的关系[J].中国动脉硬化杂志,2013,21(07):631~634.

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  • 收稿日期:2012-07-06
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