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血清血管生成素样蛋白4与冠脉内皮功能超声表现的关系
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作者 邓芸 肖雨雄 +1 位作者 唐良秋 陈宝峰 《黑龙江医药》 CAS 2020年第4期768-771,共4页
目的:研究稳定型心绞痛(SAP)患者血清血管生成素样蛋白4(Angptl4)水平与冠脉内皮功能超声表现的关系。方法:选择拟诊断SAP患者180例,根据冠脉造影分为SAP组122例和对照组(非冠心病)58例。术前检测血清Angptl4,采用二维超声心动图检测冷... 目的:研究稳定型心绞痛(SAP)患者血清血管生成素样蛋白4(Angptl4)水平与冠脉内皮功能超声表现的关系。方法:选择拟诊断SAP患者180例,根据冠脉造影分为SAP组122例和对照组(非冠心病)58例。术前检测血清Angptl4,采用二维超声心动图检测冷加压试验前后冠脉左主干内径变化率(ΔD LM)和前降支中远段峰值血流速度变化率(ΔV LAD)以无创性评价冠脉内皮功能。结果:与对照组相比,SAP组血清Angptl4水平明显降低[(25.3±6.5)ng/mL比(38.7±7.3)ng/mL,P<0.01],ΔD LM和ΔV LAD均明显降低(均P<0.01)。Pearson相关性分析显示,SAP组血清Angptl4分别与ΔD LM和ΔV LAD呈正相关(rΔDLM=0.425,rΔVLAD=0.548,均P<0.01);进一步多因素分析校正其他心血管危险因素的干扰后,血清Angptl4与ΔD LM和ΔV LAD的相关关系仍然存在(β'ΔDLM=0.325,β'ΔLAD=0.412,均P<0.05)。结论:SAP患者血清Angptl4水平显著降低,与冠脉内皮功能障碍密切相关,提示Angptl4降低可能参与早期冠心病的发生、发展。 展开更多
关键词 血管生成素样蛋白4 稳定型心绞痛 内皮功能/冠状动脉
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Effect of Liandouqingmai Recipe on life quality and vascular endothelial injury in patients with coronary heart disease 被引量:10
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作者 Hongjun Zhu Shu Lu +3 位作者 Wei Su Shaoyu Gong Zhibin Zhang Ping Li 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2012年第4期529-533,共5页
OBJECTIVE:To observe the effects of Liandouqingmai Recipe on life quality and vascular endothelial injury in patients with coronary heart disease.METHODS:Capitalized 101 patients with coronary heart disease were rando... OBJECTIVE:To observe the effects of Liandouqingmai Recipe on life quality and vascular endothelial injury in patients with coronary heart disease.METHODS:Capitalized 101 patients with coronary heart disease were randomly divided into a treatment group(n=45) treated with Liandouqingmai Recipe and a standard treatment group(control group,n=56).A normal group of 16 healthy persons was additionally set up.Changes in ET-1 and NO levels were measured and Seatle Angina Questionnaire(SAQ) was adopted in studying life quality before and after treatment for two weeks.The data were analyzed with SPSS 16.0 statistic software.RESULTS:The average level of ET-1 in the normal group was lower and NO higher than that of patients with coronary heart disease.There was no significant difference in the average level of ET-1 and NO and in the scores of SAQ [physical limitation(PL),pngina stability(AS),apngina frequency(AF),treatment satisfaction(TS) and disease perception(DP)] between the two groups before treatment(P>0.05).But after treatment,the scores of SAQ(PL,AS,AF,TS,DP) and NO level were higher than those in the control group,and ET-1 average level in the treatment group was lower than that in the control group.The negative relations between PL and ET-1 and between AF and ET-1 were found in this study.CONCLUSION:Liandouqingmai Recipe can raise scores of SAQ and NO level and decline ET level in patients with coronary heart disease on the basis of convertional standard treatment,thus improving vascular endothelial function and life quality.Life quality is related to vascular endothelial function. 展开更多
关键词 Coronary disease Life quality Ques-tionnaires ENDOTHELIN-1 Nitric oxide Liandouqing-mai recipe
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