摘要
恶液质是慢性疾病的晚期表现,以消瘦为特征。慢性充血性心力衰竭(Chronic heart failure,CHF)时患者会出现不同程度的机体消耗.随着脂肪组织、瘦体质和骨组织减少到一定程度就出现了心源性恶液质(syndrome of cardiac cachexia,SOCC)。SOCC的出现往往提示预后不良,是独立于年龄、左室射血分数、运动耐量之外的一项重要的预后因素。越来越多的证据表明免疫和神经内分泌异常在SOCC发生发展过程中起着关键的作用。
出处
《现代医药卫生》
2009年第8期1177-1179,共3页
Journal of Modern Medicine & Health
参考文献13
-
1Anker SD, Coats AJS.Cardiac cachexia :a syndrome with impaired survival and immune and neuroendocrine aetivation[J].Chest, 1999, 115:836.
-
2King D, Smith ML,Chapman TJ ,et al.Fat malabsorption in elderly patients with cardiac cachexia[J].Age Ageing, 1996,25 : 144.
-
3Anker SD ,Chua TP,Ponikowski P,et al.Hormonal changes and eatabolic/anabolic imbalance in chronic heart failure and their importance for cardiac cachexia[J].Circulation, 1997,96:526.
-
4Harrington D,Anker SD ,Chua TP,et al.Skeletal muscle function and its relation to exercise tolerance in chronic heart failure[J].Am Coil Cardiol, 1997,30:1758.
-
5Vescovo G,Serafini F,Facchin L,et al.Specific changes in skeletal muscle myosin heavychains composition in cardiac failure:differences compared with disuse atrophy as assessed on nficrobiopsies by high resolution electrophoresis[J].Heart, 1996,76 : 337.
-
6Berry C ,Clark AL.Catabolism in chronic heart failure[J].Eur Heart J, 2000,21:521.
-
7Yoshizumi M ,Perrella MA.Bumett JC .et al.Tumor necrosis factordownregulates an endothelial nitric oxide synthase mRNA by shortening its half-life[J].Circ Res, 1993,73:205.
-
8Levine B,Kalman J ,Mayer L,et al.Elevated circulating levels of tumor necrosis factor in severe chronic heart failure[J].N Engl J Med, 1990,323:236.
-
9Barton BE.IL-6:insights into novel biological activities[J]. Clin lmmunol Immunopathol, 1997,85 : 16.
-
10Langhans W. Hnlpka B.Interleukins and tumor necrosis factor as inhibitors of food intake[J].Neuropeptides, 1999,33:415.
同被引文献21
-
1秦薇,蔡久英.GH/IGF-1治疗心力衰竭作用机制的研究进展[J].心血管病学进展,2005,26(6):578-581. 被引量:3
-
2Trobec K,von Haehling S, Anker SD,找 al. Growth hormone,insu-lin-like growth factor 1,and insulin signaling-a pharmacologicaltarget in body wasting and cachexia [J]. Cachexia SarcopeniaMuscle,2011,2(4) :191-200.
-
3Muscaritoli M,Anker SD, Argil6s Jyet al. Consensus definition ofsarcopenia,cachexia and precachexia:joint document elaborated bySpecial Interest Groups (SIG) 11 cachexia-anorexia in chronic wast-ing diseases" and " nutrition in geriatrics" [J]. Clin Nutr,2010,29(2):154-159.
-
4Palus S,Schur R,Akashi YJ,et al. Ghrelin and its analogues,BIM-28131 and BIM-28125, improve body weight and regulate theexpression of MuRF-1 and maft>x in a ratheart failure model [J].PLoS One,2011,6(11) :l-2.
-
5Ottosson M,Lonnroth P, Bjomtorp P,et al. Effects of cortisol andgrowth hormone on lipolysis in human adipose tissue [J] . J ClinEndocrinol Metas, 2000,85 (2) ; 799-803.
-
6Previs SF,Withers DJ,Ren JM,et al. Contrasting effects of IRS-1versus IRS-2 gene disruption on carbohydrate and lipid metabolismin vivo[J]. J Biol Chem,2000,275(50) :38990-38994.
-
7Kido Y, Nakae J, Accili D. The insulin receptor and its celluartargets[J]. J Clin Endocr Metab,2001,86(3) :972-979.
-
8Laurizen HP, Galbo H, Toyoda T, et al. Kinetics of contraction-induced GLUT4 translocation in skeletal muscle fibers from livingmice[J]. Diabetes,2010,59(9) :2133-2144.
-
9Chang L,Chiang SH,Saltiel AR. Insulin signaling and the regula-tion of glucose transport[J]. Mol Med,2004,10(7/12) :65-71.
-
10Nielsen C,Gormsen LC,Jessen N,ei al. Growth hormone signalingin vivo human muscle and adipose tissue : impact of insulin,sub-strate background, and growth hormone receptor blockade [J]. JClin Endocrin Metab,2008,93(7) :2842-2850.
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-
1董庆峰,赵冬,周维,汪磊.左西孟旦治疗慢性心力衰竭患者疗效及其对cTNT和IGF-1等细胞因子水平的影响[J].疑难病杂志,2017,16(4):332-335. 被引量:28
-
2宁雕,陈素芹.二丁酰环磷腺苷联合左西孟旦治疗慢性心力衰竭的临床研究[J].现代药物与临床,2018,33(5):1056-1059. 被引量:9
-
3张畅,刘爽,刘晓雪,李季,阚佳音.氧化樟脑注射液联合环磷腺苷葡胺治疗心力衰竭的临床研究[J].现代药物与临床,2019,34(1):71-74. 被引量:12
-
1罗春生,景华,张石江,李忠东,张晓华,周志有,胡斌,牛冬梅.心脏病合并心源性恶液质的体外循环管理[J].江苏医药,2001,27(9):692-693. 被引量:1
-
2郭英辉,宋金补.心源性恶液质[J].日本医学介绍,1990,11(11):516-517.
-
3佘晓伟,沈振亚,于曙东.风湿性心脏瓣膜病合并心源性恶液质36例外科治疗分析[J].中国误诊学杂志,2009,9(33):8231-8232. 被引量:2
-
4彭学军,朱灿.厄贝沙坦联合美托洛尔对充血性心力衰竭患者神经内分泌因子及心功能的影响[J].医学临床研究,2005,22(12):1710-1712. 被引量:1
-
5李爱珍,朱彩花.慢性心力衰竭患者甲状腺激素水平的变化及其意义[J].重庆医学,2006,35(22):2108-2108. 被引量:1
-
6郝健,甄怀蒙.高同型半胱氨酸血症与心室重构研究进展[J].实用医学杂志,2009,25(4):667-668. 被引量:3
-
7汤服民,熊建,罗运成,吴铁军,王留江.联合瓣膜病并发恶液质患者的围术期处理[J].实用医药杂志,2005,22(10):896-897.
-
8肖志华.心衰时神经内分泌异常治疗理论及评价[J].临床荟萃,1998,13(19):895-896.
-
9赵铁夫,孟旭,陈宝田,张维君,马涵英.风湿性瓣膜病合并心脏恶液质的围手术期处理[J].中华胸心血管外科杂志,2004,20(5):295-296. 被引量:3
-
10曾昭波,张爱萍,段玉柱,宗强,杨立新,葛成林,张文礼,吴化奎,马伟,王军.营养支持在心衰病人治疗中的作用研究[J].中国基层医药,2003,10(11):23-24. 被引量:2