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甘油三酯-葡萄糖乘积指数与女性非糖尿病高血压左心室肥厚的相关性探讨
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作者 陆美杉 李宪伦 +1 位作者 张仕宇 姜红 《中日友好医院学报》 CAS 2024年第2期71-75,90,共6页
目的:探讨女性非糖尿病高血压患者甘油三酯-葡萄糖乘积(TyG)指数与左心室肥厚(LVH)的相关性。方法:回顾分析133名女性非糖尿病高血压患者,采用Pearson相关性分析与左室质量指数(LVMI)相关的因素,通过二元logistic回归分析获得LVH的影响... 目的:探讨女性非糖尿病高血压患者甘油三酯-葡萄糖乘积(TyG)指数与左心室肥厚(LVH)的相关性。方法:回顾分析133名女性非糖尿病高血压患者,采用Pearson相关性分析与左室质量指数(LVMI)相关的因素,通过二元logistic回归分析获得LVH的影响因素,并通过ROC曲线分析TyG指数预测LVH的最佳截断值以及灵敏度和特异度。结果:在女性非糖尿病高血压患者中,与TyG指数低值组比较,TyG指数高值组其LVMI也较高。Pearson相关性分析发现LVMI与TyG指数、收缩压及夜间舒张压呈正相关(P<0.05)。二元Logistic回归分析显示,TyG指数和夜间收缩压是LVH的预测因素(OR=3.486,95%CI:1.417~8.577;OR=1.048,95%CI:1.019~1.077)。TyG指数与夜间收缩压联合预测LVH的AUC为0.75(95%CI:0.659~0.847),灵敏度为64.7%,特异度为76.8%。结论:在女性非糖尿病高血压患者中,TyG指数和夜间收缩压与左室质量指数呈正相关,可以作为左心室肥厚的预测因子。 展开更多
关键词 原发性高血压 甘油三酯葡萄糖乘积指数 胰岛素抵抗 左心室肥厚 左室质量指数 动态血压监测
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冠状动脉慢性完全闭塞病变合并糖尿病的研究进展 被引量:3
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作者 吴亚新 杨祖芳 李宪伦 《中国医刊》 CAS 2019年第11期1176-1180,共5页
冠状动脉慢性完全闭塞(chronic total occlusion,CTO)是最难处理的冠状动脉病变之一。糖尿病易合并多血管及CTO病变,研究糖尿病合并CTO病变有着积极意义。本文重点讨论糖尿病合并CTO病变的流行病学、血糖与侧支循环的关系及诊治进展。
关键词 冠状动脉慢性完全闭塞 糖尿病 治疗
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Garlicin Post-conditioning Suppresses Adhesion Molecules in Porcine Model of Myocardial Ischemia-Reperfusion Injury 被引量:4
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作者 YANG Peng li Jia-hui +4 位作者 li Ai-li li Jing WANG Yong REN Shi-yan li xian-lun 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2019年第1期31-36,共6页
Objective: To evaluate whether garlicin post-conditioning can attenuate myocardial ischemiareperfusion injury in a catheter-based porcine model of acute myocardial infarction(AMI) by affecting adhesion molecules integ... Objective: To evaluate whether garlicin post-conditioning can attenuate myocardial ischemiareperfusion injury in a catheter-based porcine model of acute myocardial infarction(AMI) by affecting adhesion molecules integrin β1/CD29 and platelet endothelial cell adhesion molecule-1(PECAM-1/CD31). Methods: Twenty-two swine were devided into 3 groups: 6 in a sham-operation group, and 8 each in the model and garlicin groups. AMI porcine model was established in the model and garlicin groups. The distal parts of the left anterior descending coronary artery in the animals of the model and garlicin groups were occluded by dilated balloon for 2 h, followed by reperfusion for 3 h. Garlicin(1.88 mg/kg) was injected over a period of 1 h, beginning just before reperfusion, in the garlicin group. Real-time polymerase chain reaction, immunohistochemistry and Western blot were carried out to detect mRNA and protein expressions of CD29 and CD31 3 h after reperfusion. Results: Hematoxylin-eosin staining showed a better myocardial structure in the garlicin group after reperfusion. Compared to the model group, garlicin inhibited both the mRNA and protein expression of CD29 and CD31 in reperfusion area and no-reflow area(both P<0.05). Conclusions: Garlicin post-conditioning induced cardio-protection against myocardial ischemia-reperfusion injury in this catheter-based porcine model of AMI. The cardio-protective effect of garlicin is possibly owing to suppression of production of CD29 and CD31, by inhibition of the m RNA expression of CD29 and CD31. 展开更多
关键词 garlicin REPERFUSION injury myocardial INFARCTION CD29 CD31
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