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下肢深静脉血栓合并肺栓塞的危险因素分析 被引量:28
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作者 冯玉倩 张少韶 +4 位作者 余淼 杨慧敏 龙琦 丁培武 王敏 《华中科技大学学报(医学版)》 CAS CSCD 北大核心 2016年第3期319-323,共5页
目的探讨下肢深静脉血栓患者发生肺栓塞的危险因素。方法采用病例-对照研究的方法,收集华中科技大学同济医学院附属协和医院2013年1月到2014年12月确诊的下肢深静脉血栓患者共421例,根据肺动脉计算机断层摄影血管造影术(CTPA)的结果,... 目的探讨下肢深静脉血栓患者发生肺栓塞的危险因素。方法采用病例-对照研究的方法,收集华中科技大学同济医学院附属协和医院2013年1月到2014年12月确诊的下肢深静脉血栓患者共421例,根据肺动脉计算机断层摄影血管造影术(CTPA)的结果,将合并肺栓塞的患者纳入病例组,不合并肺栓塞的患者纳入对照组,并筛选各危险因素,用多因素Logistic回归分析其与肺栓塞的相关性。结果 421例下肢深静脉血栓患者中,219例发生肺栓塞,通过多因素Logistic回归分析显示:合并存在心脑血管疾病(OR=1.795,95%CI1.146~2.811,P=0.011)、慢性炎症性疾病(OR=2.333,95%CI1.386~3.927,P=0.001)与下肢深静脉血栓患者发生肺栓塞密切相关。其中心脑血管疾病包括脑梗死、高血压、冠心病、房颤、心脏瓣膜病、心源性肺动脉高压、扩张型心肌病。Logistic回归分析显示冠心病(OR=2.792,95%CI1.177~6.623,P=0.020)、心源性肺动脉高压(OR=11.472,95%CI 1.402~93.899,P=0.023)、心脏瓣膜病(OR=12.625,95%CI1.560~102.177,P=0.017)、扩张型心肌病(OR=2.626,95%CI 1.028~6.711,P=0.044)是下肢深静脉血栓患者发生肺栓塞的危险因素。慢性炎症性疾病包括呼吸系统慢性炎症性疾病、消化系统慢性炎症性疾病、慢性肾炎、结缔组织病,单因素分析显示呼吸系统慢性炎症性疾病(P〈0.01)是下肢深静脉血栓患者发生肺栓塞的危险因素,其中慢性支气管炎(OR=10.152,95%CI2.379~46.456,P=0.002)、慢性肺炎(OR=5.902,95%CI 1.254~27.787,P=0.025)的作用尤为显著。结论下肢深静脉血栓形成的患者合并心脑血管疾病和慢性炎症性疾病,尤其是合并冠心病、心脏瓣膜病、心源性肺动脉高压以及慢性肺炎和慢性支气管炎,发生肺栓塞的危险性增加。 展开更多
关键词 深静脉血栓形成 肺栓塞 危险因素 LOGISTIC回归分析
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IL-17 Induces MPTP Opening through ERK2 and P53 Signaling Pathway in Human Platelets 被引量:2
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作者 袁璟 丁培武 +5 位作者 余淼 张少韶 龙琦 程翔 廖玉华 王敏 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2015年第5期679-683,共5页
The opening of mitochondrial permeability transition pore(MPTP) plays a critical role in platelet activation. However,the potential trigger of the MPTP opening in platelet activation remains unknown. Inflammation is... The opening of mitochondrial permeability transition pore(MPTP) plays a critical role in platelet activation. However,the potential trigger of the MPTP opening in platelet activation remains unknown. Inflammation is the crucial trigger of platelet activation. In this study,we aimed to explore whether and how the important inflammatory cytokine IL-17 is associated with MPTP opening in platelets activation by using MPTP inhibitor cyclosporine-A(Cs A). The mitochondrial membrane potential(Δψm) was detected to reflect MPTP opening levels. And the platelet aggregation,activation,and the primary signaling pathway were also tested. The results showed that the MPTP opening levels were increased and Δψm reduced in platelets administrated with IL-17. Moreover,the levels of aggregation,CD62 P,PAC-1,P53 and the phosphorylation of ERK2 were enhanced along with the MPTP opening in platelets pre-stimulated with IL-17. However,Cs A attenuated these effects triggered by IL-17. It was suggested that IL-17 could induce MPTP opening through ERK2 and P53 signaling pathway in platelet activation and aggregation. 展开更多
关键词 trigger mitochondrial aggregation aimed cyclosporine attenuated signaling cytokine Pathway permeability
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