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慢性心力衰竭患者血小板PAC-1与NT-proBNP的相关性分析 被引量:7

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摘要 目的观察慢性心力衰竭患者血小板活化结合位点-1(PAC-1)与N末端脑钠肽前体(NT-pro BNP)相关性,探讨慢性心力衰竭患者血栓形成的机制。方法选择2013年11月—2015年2月住院患者共62例,其中对照组(心功能正常)15例,CHF组47例,CHF组按纽约心脏病协会(NYHA)心功能分级标准分为心功能Ⅱ级16例,Ⅲ级14例,Ⅳ级17例。血小板PAC-1的表达水平采用全血流式细胞术检测,全自动生化分析仪测定NT-pro BNP水平;分别比较各组间血小板PAC-1表达的差异及其与NT-pro BNP的相关性。结果 CHF组患者血小板PAC-1水平高于对照组,差异有统计学意义(P<0.01)。心功能Ⅱ级组、Ⅲ级组、Ⅳ级组患者间血小板PAC-1表达水平逐渐升高,心功能Ⅳ级组与心功能Ⅱ级组间比较差异有统计学意义(P<0.05),余各组间差异均无统计学意义(P>0.05)。相关性分析结果显示:血小板PAC-1与NT-pro BNP呈正相关(r=0.204 2,P<0.01)。结论心力衰竭患者血小板PAC-1水平明显升高,且与NT-pro BNP水平呈正相关,提示血小板PAC-1为心力衰竭患者血栓形成的因素。
出处 《中西医结合心脑血管病杂志》 2015年第14期1650-1652,共3页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
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