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阿托伐他汀钙片联合心血管药物对冠心病患者血脂联素及脂代谢异常的影响 被引量:25
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作者 宋跃 吴立松 +2 位作者 刘冬 曹剑 宋邦荣 《实用药物与临床》 CAS 2019年第5期504-507,共4页
目的探讨阿托伐他汀钙片联合心血管药物对冠心病患者血脂联素(APN)及脂代谢异常的影响。方法选取2016年1月至2017年3月我院收治的冠心病患者300例,应用数字表法将患者随机分为2组,对照组应用辛伐他汀片治疗,观察组应用阿托伐他汀钙片联... 目的探讨阿托伐他汀钙片联合心血管药物对冠心病患者血脂联素(APN)及脂代谢异常的影响。方法选取2016年1月至2017年3月我院收治的冠心病患者300例,应用数字表法将患者随机分为2组,对照组应用辛伐他汀片治疗,观察组应用阿托伐他汀钙片联合辛伐他汀片治疗。比较两组患者肿瘤坏死因子-α(TNF-α)、IL(白细胞介素)-6、IL-8、超敏C反应蛋白(hs-CRP)炎性因子浓度、APN、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)、总胆固醇(TC)水平,肱动脉内径变化、颈动脉内膜中层厚度、颈动脉斑块发生率,分析引发冠心病的危险因素。结果观察组TNF-α、IL-6、IL-8、hs-CRP炎性因子浓度低于对照组(P<0.05),APN、LDL-C水平高于对照组(P<0.05),HDL-C、TG、TC水平低于对照组(P<0.05),肱动脉内径变化、颈动脉内膜中层厚度小于对照组(P<0.05),颈动脉斑块发生率低于对照组(P<0.05)。TC、血糖(FBG)是引发冠心病的高危因素,APN是冠心病的保护因素。结论阿托伐他汀钙片联合辛伐他汀片治疗冠心病,可以提高患者的APN水平,改善脂代谢异常情况。 展开更多
关键词 阿托伐他汀钙片 心血管药物 冠心病 血脂联素 脂代谢异常
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新生儿脐血脂联素及血脂水平分析 被引量:2
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作者 谭华清 李峥 +1 位作者 何静静 张亚妹 《中外医疗》 2011年第25期41-42,共2页
目的本文对正常足月小于胎龄儿(SGA)、适于胎龄儿(AGA)和大于胎龄儿(LGA)的脐血脂联素及血脂水平进行测定,并探讨其间是否存在差异及其相关因素。方法连续筛选2010年9月至2011年3月在我院分娩的足月新生儿,SGA)、AGA和LGA各30例,于新生... 目的本文对正常足月小于胎龄儿(SGA)、适于胎龄儿(AGA)和大于胎龄儿(LGA)的脐血脂联素及血脂水平进行测定,并探讨其间是否存在差异及其相关因素。方法连续筛选2010年9月至2011年3月在我院分娩的足月新生儿,SGA)、AGA和LGA各30例,于新生儿娩出后即刻各抽取产妇及新生儿静脉血5mL,测血脂联素水平及进行血脂分析。结果 3组新生儿的脐血血脂TG、TC、LDL-C及HDL-C水平均无显著性差异,3组的脐血脂联素水平差异有统计学意义,LGA组高于AGA组(P<0.05),AGA组>SGA组(P<0.05)。对90例足月新生儿进行相关性分析显示:脐血脂联素水平与新生儿身长(r=0.374,P=0.0024)、BMI(r=0.452,P=0.0013)、胎龄(r=0.382,P=0.0021)呈正相关,与脐血血脂水平无显著相关,与母血脂联素、血脂水平及孕前BMI、孕时BMI均无显著相关性。结论应对SGA以及脂联素水平较低的新生儿进行跟踪随访研究,进一步探讨新生儿脂联素水平的远期意义,并监测该群体血清脂联素水平,可能会为早期预防提供帮助。 展开更多
关键词 足月新生儿 血脂联素 血脂
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2型糖尿病肾病与血脂联素、Gas6、血清胆红素相关性研究 被引量:3
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作者 聂明明 马小茹 《继续医学教育》 2015年第2期87-88,共2页
目的对2型糖尿病肾病与血脂联素、Gas6、血清胆红素相关性进行分析。方法对2012年4月~2014年4月期间在佳木斯中心医院接受治疗的40例2型糖尿病肾病患者为研究组,在佳木斯中心医院体检显示健康的40例正常人为对照组,观察比较两组的血脂... 目的对2型糖尿病肾病与血脂联素、Gas6、血清胆红素相关性进行分析。方法对2012年4月~2014年4月期间在佳木斯中心医院接受治疗的40例2型糖尿病肾病患者为研究组,在佳木斯中心医院体检显示健康的40例正常人为对照组,观察比较两组的血脂联素、Gas6水平、血清胆红素水平指标。结果研究组的血脂联素水平明显高于对照组,差异有统计学意义(P〈0.05);观察组的血浆Gas6水平与总胆红素(TBIL)水平、间接胆红素(IBIL)水平均明显低于对照组,差异有统计学意义(P〈0.05);两组患者的直接胆红素(DBIL)水平差异无显著性,无统计学意义(P〉0.05)。结论 2型糖尿病肾病的发生及发展与机体血脂联素、Gas6、TBIL、IBIL水平有关,血脂联素水平越高、Gas6水平及血清胆红素中的TBIL、IBIL水平越低,就越容易引发2型糖尿病肾病,且Gas6、TBIL、IBIL水平越低,病情越严重。 展开更多
关键词 2型糖尿病肾病 血脂联素 GAS6 血清胆红
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妊娠糖尿病母、脐血脂联素水平分析
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作者 麻玲玲 《中国现代药物应用》 2018年第3期42-43,共2页
目的观察妊娠糖尿病(GDM)母、脐血脂联素水平的变化情况,探讨并分析脂联素水平变化的意义。方法选取产科住院分娩的30例GDM产妇作为研究组,另选取同期产科住院分娩的30例正常妊娠产妇作为对照组,采用酶联免疫吸附法(ELISA法)测定两组母... 目的观察妊娠糖尿病(GDM)母、脐血脂联素水平的变化情况,探讨并分析脂联素水平变化的意义。方法选取产科住院分娩的30例GDM产妇作为研究组,另选取同期产科住院分娩的30例正常妊娠产妇作为对照组,采用酶联免疫吸附法(ELISA法)测定两组母血、脐血脂联素水平,观察新生儿体重、身高及儿童重量指数(PI)指数。结果两组的脐血脂联素水平明显高于同组的母血脂联素水平,差异具有统计学意义(P<0.05)。两组的母血脂联素、脐血脂联素、新生儿体重、PI值比较差异均具有统计学意义(t=9.949、20.877、4.005、7.330,P<0.05);而两组的新生儿身高比较差异无统计学意义(t=1.630,P>0.05)。结论 GDM孕妇的母、脐血脂联素水平低于正常妊娠孕妇,且脐血脂联素水平高于母血脂联素水平,预示着脂联素可能与GDM发病、机体肥胖密切相关。 展开更多
关键词 妊娠糖尿病 血脂联素 血脂联素
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尿毒症患者血脂联素水平与血管硬化的相关性研究
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作者 杜晓娅 《中国民康医学》 2013年第10期1-2,34,共3页
目的:探讨肾脏病尿毒症患者血清血脂联素水平及其与血管硬化的相关性。方法:将29例尿毒症血液透析患者设为治疗组,20例肾功能正常的截肢患者设为对照组。分别测定血清血脂联素水平、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL... 目的:探讨肾脏病尿毒症患者血清血脂联素水平及其与血管硬化的相关性。方法:将29例尿毒症血液透析患者设为治疗组,20例肾功能正常的截肢患者设为对照组。分别测定血清血脂联素水平、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-ch)、载脂蛋白B(apoB)水平;分别取桡动脉和同等级别的上下肢动脉做组织学检查,观察官腔管壁的变化及血脂代谢情况并对比分析。结果:治疗组患者血清血脂联素水平明显低于对照组(P<0.01),均存在不同程度的动脉血管硬化。相关分析显示患者血清血脂联素水平与桡动脉内膜中层厚度(IMT)及管壁/管腔比值呈负相关。结论:尿毒症患者普遍存在血管硬化,硬化的轻重与血脂联素水平成反比,这可能和血脂联素与脂质代谢紊乱密切相关有关。 展开更多
关键词 尿毒症 血脂联素 动脉硬化
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妊娠期糖尿病产妇脐血脂联素水平与新生儿生长发育指标的相关性研究 被引量:2
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作者 刘君 刘改文 +1 位作者 高丽丽 李银凤 《中国妇幼保健》 CAS 2018年第11期2426-2428,共3页
目的探讨妊娠期糖尿病(GDM)产妇脐血脂联素水平与新生儿生长发育指标的相关性,为临床预测胎儿宫内生长发育指标奠定基础。方法选取2013年10月-2016年12月呼和浩特市第一医院33例GDM产妇设为观察组,另取同期糖耐量正常的健康产妇33例设... 目的探讨妊娠期糖尿病(GDM)产妇脐血脂联素水平与新生儿生长发育指标的相关性,为临床预测胎儿宫内生长发育指标奠定基础。方法选取2013年10月-2016年12月呼和浩特市第一医院33例GDM产妇设为观察组,另取同期糖耐量正常的健康产妇33例设为对照组。均于胎儿娩出后采集脐静脉血5 ml,以酶联免疫吸附法检测脐血脂联素,放射免疫法检测胰岛素,并对新生儿体质量、身长进行测量,计算Ponderal指数(PI)。对比两组脐血脂联素及胰岛素水平及新生儿体质量、身长、PI,并分析脐血脂联素水平与新生儿生长发育指标的相关性。结果 (1)观察组脐血脂联素水平低于对照组,胰岛素水平高于对照组,差异有统计学意义(均P<0.05)。(2)两组新生儿身长比较差异无统计学意义(P>0.05),观察组新生儿体质量及PI均大于对照组,差异有统计学意义(均P<0.05)。(3)脐血脂联素水平与新生儿体质量、PI呈明显负相关(P<0.05),与新生儿出生时身长无明显相关性(P>0.05)。结论 GDM产妇脐血脂联素水平明显低于正常产妇,且脐血脂联素水平与新生儿生长发育指标呈明显负相关,有望成为预测胎儿宫内生长发育的重要指标。 展开更多
关键词 妊娠期糖尿病 血脂联素 新生儿生长发育
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血清脂联素对极低出生体重早产儿胃肠外营养相关性胆汁淤积的相关性分析 被引量:12
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作者 庞隐 张汝娟 杜晓娅 《中国儿童保健杂志》 CAS 2016年第9期951-954,共4页
目的探讨血清脂联素(APN)与极低出生体重早产儿胃肠外营养相关性胆汁淤积(PNAC)的相关性。方法所有符合标准的早产儿均于入院后24~48h内取静脉血检测血清APN水平,以中位数13.15mg/L为界,将≥13.15mg/L患者分为高APN组63例,〈13.15m... 目的探讨血清脂联素(APN)与极低出生体重早产儿胃肠外营养相关性胆汁淤积(PNAC)的相关性。方法所有符合标准的早产儿均于入院后24~48h内取静脉血检测血清APN水平,以中位数13.15mg/L为界,将≥13.15mg/L患者分为高APN组63例,〈13.15mg/L为低APN组72例,记录随后5周内患儿PNAC发病率;以发生PNAC为事件终点,用Kaplan-Meier方法对PNAC发生率进行分析;Cox单因素回归分析血清APN与PNAC发生率的相关性。结果随访期间,低脂联素组第2、3、4和5周PNAC发生率分别为21.8%、43.1%、64.0%、和79.2%,血清APN水平有逐渐下降趋势,3周、4周下降更明显(P〈0.01);高APN组不同时段PNAC发生率分别为17.9%、33.1%、49.3%和67.8%,APN水平无明显变化(P〉0.05)。分析显示两组PNAC发生率差异有统计学意义(P〈0.01),Cox单因素分析,APN水平是影响患者远期预后的独立危险因素(P〈0.05)。结论随访过程中,在低APN组,伴随着APN水平的降低,PNAC发生逐渐增多。APN与极低体重早产儿胃肠外营养相关性胆汁淤积具有相关性。 展开更多
关键词 早产儿 静脉营养 血脂联素 胆汁淤积
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Molecular mechanism of Radix astragali on improvement of insulin sensitivity of SD rats treated with low dose dexamethasone 被引量:3
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作者 颜廷艳 武晓光 张英涛 《Journal of Chinese Pharmaceutical Sciences》 CAS 2007年第3期227-232,共6页
Aim To reveal the main active components and the action mechanisms of Radix astragali on insulin sensitivity improvement, we have investigated the effects of polysaccharide portion and saponin portion of Radix astraga... Aim To reveal the main active components and the action mechanisms of Radix astragali on insulin sensitivity improvement, we have investigated the effects of polysaccharide portion and saponin portion of Radix astragali extracts on blood biochemical indices and related gene expression of dexamethasone-induced SD rats. Methods SD rats (6 per group) received 2 μg/day subcutaneous dexamethasone for 4 weeks plus same dose (10 g material/kg) of polysaccharide or saponin extracts of Radix astragali. Blood samples, kidney tissues and epididymal fat pads were taken at the end of the experiment. Serum triglyceride (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDLC), high density lipoprotein cholesterol (HDLC), glucose (GLU) and insulin (INS) levels were measured, respectively, mRNA levels of angiotensinogen in kidney, adiponectin and leptin as well as TNF-α in epididymal fats were determined by RT-PCR assay using GAPDH gene as an internal control. Results Both of polysaccharide and saponin extracts of Radix astragali exhibited positive effects in reducing serum triglycerides, glucose, and insulin levels of dexamethasone-induced SD rats. The saponin group showed more improvements on quantitive insulin sensitivity check index (QUICKI) than the polysaccharide group did. Both of the extracts down-regulated kidney angiotensinogen and fat TNF-α mRNA levels while they were simultaneously up-regulating fat adiponectin and leptin mRNA levels. No significant difference was found between actions of the two extracts. Conclusion Both of polysaccharide and saponin extracts of Radix astragali can improve insulin sensitivity. This action might be closely related to down-regulation of angiotensinogen, TNF-α and up-regulation of adiponectin and leptin expression. The results partly explained the improvement of type Ⅱ diabetes and diabetic nephropathy by Radix astragali. The similar actions of the two crude extracts suggest that unknown key active compounds might exist in both and remain to be discovered. 展开更多
关键词 Radix astragali Insulin resistance ANGIOTENSINOGEN ADIPONECTIN Leptin TNF-α
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A rabbit model of pediatric nonalcoholic steatohepatitis: The role of adiponectin 被引量:10
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作者 Jun-Fen Fu Yan-Lan Fang Li Liang Chun-Lin Wang Fang Hong Guan-Ping Dong 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第8期912-918,共7页
AIM: To create a rabbit model of pediatric nonalcoholic steatohepatitis (NASH) and to evaluate the role of adiponectin in the process. METHODS: Thirty-two specific pathogen-free male New Zealand rabbits were divid... AIM: To create a rabbit model of pediatric nonalcoholic steatohepatitis (NASH) and to evaluate the role of adiponectin in the process. METHODS: Thirty-two specific pathogen-free male New Zealand rabbits were divided randomly into three groups: (1) the normal control group (n = 10) was fed with standard diet for 12 wk; (2) the model group A (n = 11); and (3) model group B (n = 11) were fed with a highfat diet (standard diet + 10% lard + 2% cholesterol) for 8 and 12 wk, respectively. Hepatic histological changes were observed and biochemical parameters as well as serum levels of adiponectin, interleukin (IL)-6, IL-10 and tumor necrosis factor (TNF)-α were measured. RESULTS: Typical histological hepatic lesions of NASH were observed in both model groups described as liver steatosis, liver inflammatory infiltration, cytologic ballooning, perisinusoidal fibrosis and overall fibrosis. Compared with the normal control group, there were significant increases in model groups A and B in weight gain (1097.2 ± 72.3, 1360.5± 107.6 vs 928.0 ±58.1, P 〈 0.05, P 〈 0.01), liver weight (93.81±6.64, 104.6±4.42 vs 54.4±1.71, P 〈 0.01), Lg (ALT) (1.9±0.29, 1.84± 0.28 vs 1.60±0.17, P 〈 0.01), and Lg (TG) (1.03 ±0.24, 1.16 ±0.33 vs 0.00 ±0.16, P 〈 0.01). Weight gain was much more in model group B than in model group A (1360.5± 107.6 vs 1097.2 ±72.3, P 〈 0.05). But, there was no significant difference between the two groups concerning the other indexes. Pro-inflammatory cytokines (IL-6 and TNF-α) increased in model group B compared with that of control and model group A (IL-6:1.86±0.21 vs 1.41 ±0.33, 1.38± 0.42, P 〈 0.01; TNF-α: 1.18±0.07 vs 0.66 ±0.08, 0.86 ±0.43, P 〈 0.01, P 〈 0.05), whereas serum adiponectin and IL-10 decreased in model groups compared with that in the control (adiponectin: A: 21.87±4.84 and B: 21.48 ±4.60 vs 27.36 ±7.29, P 〈 0.05. IL-10: A: 1.72± 0.38 and B: 1.83 ±0.39 vs 2.26±0.24, P 〈 0.01). Lg (TC) and the degree of liver fatty infiltration was an independent determinant of serum adiponectin level analyzed by stepwise multiple regressions, resulting in 29.4% of variances. CONCLUSION: This rabbit model produces the key features of pediatric NASH and may provide a realistic model for future studies. Adiponectin level partially reflects the severity of liver steatosis, but not the degree of liver inflammation. 展开更多
关键词 Nonalcoholic steatohepatitis Pediatricanimal model ADIPONECTIN Interleukin 6 Tumornecrosis factor
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硝苯地平联合缬沙坦治疗老年原发性高血压的临床疗效 被引量:14
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作者 刘宏 《中国临床药理学杂志》 CAS CSCD 北大核心 2014年第11期988-990,共3页
目的评价硝苯地平和缬沙坦联合治疗老年原发性高血压患者临床效果,以及其对血脂联素水平影响。方法 160例老年原发性高血压患者随机分为对照组与观察组,各80例。对照组口服硝苯地平10 mg,每天2次,观察组在对照组的基础上加用缬沙坦80 mg... 目的评价硝苯地平和缬沙坦联合治疗老年原发性高血压患者临床效果,以及其对血脂联素水平影响。方法 160例老年原发性高血压患者随机分为对照组与观察组,各80例。对照组口服硝苯地平10 mg,每天2次,观察组在对照组的基础上加用缬沙坦80 mg·d-1,疗程均为2个月。比较2组患者治疗前后的总有效率、血压、血脂和血脂联素。结果对照组总有效率为72.5%,显著低于观察组的95%(P<0.05)。2组治疗后收缩压(SBP)、舒张压(DBP)和脉压(PP)显著下降(P<0.05)。观察组SBP、PP与对照组比较,差异有统计学意义(P<0.05)。观察组治疗后低密度脂蛋白(LDL)、总胆固醇(TC)及三酰甘油(TG)比治疗前均明显降低(P<0.05),而高密度脂蛋白(HDL)和脂联素(ADP)水平明显升高(P<0.05);对照组LDL、TC、TG及HDL治疗前后无显著变化(P>0.05),而ADP水平明显升高(P<0.05)。观察组TC、TG、LDL和HDL与对照组比较差异有统计学意义(P<0.05)。结论硝苯地平缓释片和缬沙坦治疗原发性高血压可提高临床疗效和血脂联素水平。 展开更多
关键词 血管紧张Ⅱ受体拮抗剂 钙通道阻滞剂 老年原发性高血压 血脂联素
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A comparative study of the effect of low-frequency electroacupuncture on blood lipids between men and women with simple obesity 被引量:2
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作者 Xu Xiao-kang Gao Fei +6 位作者 Wang Li-li WU Zhong-qiu Liang Yu-lei Sun Xiao-xue Du Xiao-yi Zhou Xiao-hong Sun Li-hong 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第6期415-419,共5页
Objective:To observe the difference of the effect of low-frequency electroacupuncture(EA)on blood lipids between male and female patients with simple obesity due to damp induced by spleen deficiency.Methods:Eighty pat... Objective:To observe the difference of the effect of low-frequency electroacupuncture(EA)on blood lipids between male and female patients with simple obesity due to damp induced by spleen deficiency.Methods:Eighty patients with simple obesity were recruited,including 37 males and 43 females,to receive low-frequency EA by selecting Yinlingquan(SP 10),Sanyinjiao(SP 6),Zusanli(ST 36),Fenglong(ST 40),Quchi(LI 11),Tianshu(ST 25),Zhongwan(CV 12),Shuifen(CV 9),Qihai(CV 6)and Guanyuan(CV 4),with needles retained for 30 min.The treatment was given once a day,10 sessions as a treatment course,for 2 courses in total.The contents of body fat percentage(F%),total cholesterol(TC),triglyceride(TG),high-density lipoprotein(HDL),low-density lipoprotein(LDL),blood glucose(Glu)and adiponectin(ADPN)in serum were observed to see the changes,and the two groups were compared and analyzed.Results:After the treatment,F%,and serum contents of TC,TG,LDL,Glu and ADPN dropped significantly in the two groups(P〈0.05 or P〈0.01)and the serum content of HDL increased significantly in male group(P〈0.05).The decrease of F%in female group was more significant than that in male group(P〈0.01);the decrease of ADPN in male group was more significant than that in female group(P〈0.05).Conclusion:EA can regulate the disordered blood lipids in male and female patients with simple obesity,with certain differences between genders.The decrease of subcutaneous fat content is more significant in females than that in males,while the decrease of ADPN is more significant in males. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE OBESITY Sex Characteristics LIPIDS Blood Glucose ADIPONECTIN
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