三种国产雷帕霉素药物洗脱支架植入对血清sPLA2及hs-CRP水平的影响
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Effects of Three Domestic Rapamycin Drug-eluting Stents on Serum sPLA2 and hs-CRP Levels
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    摘要:

    目的 探讨三种国产雷帕霉素药物洗脱支架(普通药物洗脱支架、可降解药物涂层支架及无载体药物涂层支架)植入对血清分泌型磷脂酶A2(sPLA2)和高敏C反应蛋白(hs-CRP)的影响。方法 连续收集我院既往无支架植入史的不稳定型心绞痛(UAP)患者126例,根据植入支架不同分为Firebird 2代支架组(33例)、Excel支架组(43例)及Nano支架组(50例),另选取同期经冠状动脉造影证实为非冠心病患者48例为对照组,分别于术前、术后24 h抽血测定血清sPLA2及hs-CRP水平。结果 四组患者术前一般临床资料、3个支架组支架植入情况均无明显差异(P>0.05);术前、术后24 h 3个支架组血清sPLA2和hs-CRP水平较对照组明显升高(P<0.01),但三组间比较均无明显差异;术后24 h,四组血清sPLA2和hs-CRP水平较术前均有所升高(P<0.05);3个支架组血清sPLA2和hs-CRP水平术后较术前升高幅度比较无明显差异(P>0.05),但明显高于对照组(P<0.01)。结论 上述三种国产雷帕霉素药物洗脱支架植入均会导致短期血清sPLA2和hs-CRP水平升高,但三组间炎症因子水平均无明显差异。

    Abstract:

    Aim To study the effects of three kinds of domestic rapamycin drug-eluting stents(rapamycin drug-eluting stent, biodegradable rapamycin drug-eluting stents and polymer-free rapamycin drug-eluting stent) on serum secretory phospholipase A2 (sPLA2) and high sensitivity C-reactive protein (hs-CRP) levels after stents implantation. Methods 126 patients with unstable angina pectoris (UAP) by angiography were divided into Firebird 2 generation group (33 cases), Excel group (43 cases) and Nano group (50 cases), the patients without coronary heart disease (CHD) by coronary angiography during the same period were selected as the control group, serum concentration of sPLA2 and hs-CRP were determined before and at 24 h after coronary intervention. Results Clinical data had no difference in the four groups, and angiography characteristics had no significant differences in the three stent groups (P>0.05). Serum concentration of sPLA2 and hs-CRP in the three stent groups were significantly higher than those of the control group before and at 24 h after coronary intervention (P<0.01), but there were no significant differences between the three stent groups. Serum concentration of sPLA2 and hs-CRP at 24 h were significantly higher in each group than those in preoperative (P<0.05). Compared with preoperative at 24 h, serum concentration of sPLA2 and hs-CRP in the three stent groups were significantly higher than those in the control group (P<0.01), but there were no significant differences between the three stent groups. Conclusion Three kinds of domestic rapamycin drug-eluting stent implantation can induce the increase of serum sPLA2 and hs-CRP concentrations in short-term, but the inflammatory factor levels had no obvious differences between the three stent groups.

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李新伟,薛文平,刘克坚,邱 强.三种国产雷帕霉素药物洗脱支架植入对血清sPLA2及hs-CRP水平的影响[J].中国动脉硬化杂志,2014,22(06):613~616.

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  • 收稿日期:2013-10-17
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