期刊文献+
共找到153篇文章
< 1 2 8 >
每页显示 20 50 100
Expression of platelet endothelial cell adhesion molecule-1 between pancreatic microcirculation and peripheral circulation in rats with acute edematous pancreatitis 被引量:6
1
作者 Hong-Kai Gao Zong-Guang Zhou +2 位作者 You-Qin Chen Fang-Hai Han Cun Wang the Department of General Surgery and Institute of Digestive Surgery, West China Hospital, Sichuan University, Chengdu 610041, China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2003年第3期463-466,共4页
OBJECTIVE: To study the ehanges of platelet endothelial cell adhesion molecule-1 (PECAM-1) expression on polymorphonuclear leukocytes (PMNs) in peripheral circulation anti pancreatic microcirculation in rats with acut... OBJECTIVE: To study the ehanges of platelet endothelial cell adhesion molecule-1 (PECAM-1) expression on polymorphonuclear leukocytes (PMNs) in peripheral circulation anti pancreatic microcirculation in rats with acute edematous pancreatitis (AEP). METHODS: The model of AEP was established with 50 Wistar rats, and the changes of PECAM-1 expression on PMNs from the splenic vein and inferior vena cava were determined by flow cytometry. RESULTS: PECAM-I expression on PMNs showed no significant difference between pancreatic microcirculation and peripheral circulation at AEP2h and AEP4h time points. From the AEP4h to the AEP8h time point, PECAM-1 expression in peripheral circulation was up-regulated, but PECAM-1 expression in pancreatic microcirculation was down-regulated. PECAM-1 expression had a significant difference between pancreatic microcirculation and peripheral circulation at the AEP8h time point (P<0.05). CONCLUSION: PECAM-1 expression on PMNs is in a converse way between pancreatic microcirculation and peripheral circulation in AEP. 展开更多
关键词 acute edematous pancreatitis peripheral circulation pancretic microcirculation polymorphonuclear leukocyte platelet endothelial cell adhesion molecules-1
下载PDF
Effects of TCMP-1 on the changes of platelet endothelial cell adhesion molecule-1 expression in acute edematous pancreatitis 被引量:4
2
作者 Hong-Kai Gao, Zong-Guang Zhou, Tao He, You-Qin Chen, Fang-Hai Han and Cun Wang Chengdu, ChinaDepartment of General Surgery & Division of Diges- tive Surgery, West China Hospital, Sichuan University, Chengdu 610041 , China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2004年第2期311-315,共5页
BACKGROUND: Traditional Chinese medicine is a potent agent in the management of clinical and experimental acute pancreatitis (AP), but the molecular mechanism of its the- rapeutic action is unclear. Numerous experimen... BACKGROUND: Traditional Chinese medicine is a potent agent in the management of clinical and experimental acute pancreatitis (AP), but the molecular mechanism of its the- rapeutic action is unclear. Numerous experimental and clinical studies have shown that platelet endothelial cell ad- hesion molecule-1 (PECAM-1) is pivotal to leukocyte re- cruitment, which results in microcirculatory injury during inflammation, but its role in acute pancreatitis is poorly un- derstood. We investigated the effects of a compound of tra- ditional Chinese medicine pancreatitis-1 (TCMP-1) on the changes of platelet endothelial cell adhesion molecule-1 (PECAM-1) expression on polymorphonuclear leukocytes (PMNs) in acute edematous pancreatitis (AEP). METHODS: The model of acute pancreatitis was estab- lished by subcutaneous injection of caerulein, and TCMP-1 treated groups were given TCMP-1 by catheterization from mouth to stomach (20 ml/kg) immediately after first time subcutaneous injection of caerulein. The changes of expres- sion of PECAM-1 on leukocytes from the blood of the splenic vein and inferior vena cava were determined by flow cytometry. RESULTS: In the AEP group, expression of PECAM-1 on PMNs was not significantly different between pancreatic microcirculation and systemic circulation at AEP2h and AEP4h time point. Then from AEP4h time point to AEP8h time point, expression of PECAM-1 was up-regulated in systemic circulation while it was down-regulated in pancre- atic microcirculation and was significantly different be- tween pancreatic microcirculation and systemic circulation at AEP8h time point (P<0.05). In the TCMP-1 treated group, compared with the AEP group, expression of PE-CAM-1 on PMNs decreased in different levels between pan- creatic microcirculation and systemic circulation and was of significant difference at AEP8h time point (P <0.05). CONCLUSION: Inhibition of PECAM-1 expression on PMNs may prevent PMNs from transmigration through the endo- thelium and may be one of the treatment mechanisms of TCMP-1 decoction on AEP. 展开更多
关键词 acute pancreatitis platelet endothelial cell adhesion molecule-1 Chinese medicine
下载PDF
The relationship between platelet endothelial cell adhesion molecule-1 and paraquat-induced lung injury in rabbits 被引量:7
3
作者 Jing Shi Chun-lin Hu +2 位作者 Yu-feng Gao Xiao-xing Liao Hope Xu 《World Journal of Emergency Medicine》 CAS 2012年第1期60-64,共5页
BACKGROUND:Platelet endothelial cell adhesion molecule-1(PECAM-1),also known as CD31,is mainly distributed in vascular endothelial cells.Studies have shown that PECAM-1 is a very significant indicator of angiogenesis,... BACKGROUND:Platelet endothelial cell adhesion molecule-1(PECAM-1),also known as CD31,is mainly distributed in vascular endothelial cells.Studies have shown that PECAM-1 is a very significant indicator of angiogenesis,and has been used as an indicator for vascular endothelial cells.The present study aimed to explore the relationship between the expression of PECAM-1 and the degree of acute lung injury(ALI) and fibrosis in paraquat(PQ) induced lung injury in rabbits.METHODS:Thirty-six adult New Zealand rabbits were randomly divided into three groups(12rabbits in each group) according to PQ dosage:8 mg/kg(group A),16 mg/kg(group B),and 32 mg/kg(group C).After PQ infusion,the rabbits were monitored for 7 days and then euthanized.The lungs were removed for histological evaluation.Masson staining was used to determine the degree of lung fibrosis(LF),and semi-quantitative immune-histochemistry analysis to determine the expression of PECAM-1.Pearson's product-moment correlation analysis was performed to evaluate the relationship between the expression of PECAM-1 and the extent of lung injuries expressed by ALI score and degree of LF.RESULTS:Rabbits in the three groups showed apparent poisoning.The rabbits survived longer in group A than in groups B and C(6.47±0.99 days vs.6.09±1.04 days vs.4.77±2.04 days)(P<0.05).ALI score was lower in group A than in groups B and C(8.33±1.03 vs.9.83±1.17 vs.11.50±1.38)(P<0.05),and there was statistically significant difference between group B and group C(P=0.03).LF was slighter in group A than in groups B and C(31.09%±2.05%vs.34.37%±1.62%vs.36.54%±0.44%)(P<0.05),and there was statistically significant difference between group B and group C(P=0.026).The PEACAM-1 expression was higher in group A than in groups B and C(20.31%±0.70%vs.19.34%±0.68%vs.18.37%±0.46%)(P<0.05),and there was statistically significant difference between group B and group C(P=0.017).Pearson's correlation analysis showed that the expression of PECAM-1 was negatively correlated to both ALI score(Coe=-0.732,P=0.001)and degree of LF(Coe=-0.779,P<0.001).CONCLUSIONS:The PECAM-1 expression significantly decreases in New Zealand rabbits after PQ poisoning,and the decrease is dose-dependent.The PECAM-1 expression is negatively correlated with ALI score and LF,showing a significant role in the development of lung injuries induced by PQ. 展开更多
关键词 platelet endothelial cell adhesion molecule-1 PARAQUAT Acute lung injury Lung fibrosis
下载PDF
Differences in platelet endothelial cell adhesion molecule-1 expression between peripheral circulation and pancreatic microcirculation in cerulein-induced acute edematous pancreatitis 被引量:2
4
作者 Hong-KaiGao Zong-GuangZhou +5 位作者 Fang-HaiHan You-QinChert Wen-WeiYan TaoHe CunWang ZhaoWang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第5期661-664,共4页
AIM: To investigate the changes of platelet endothelial cell adhesion molecule-1 (PECAM-1) expression on polymorphonuclear leukocytes (PMNs) in peripheral circulation and pancreatic microcirculation in cerulein-induce... AIM: To investigate the changes of platelet endothelial cell adhesion molecule-1 (PECAM-1) expression on polymorphonuclear leukocytes (PMNs) in peripheral circulation and pancreatic microcirculation in cerulein-induced acute edematous pancreatitis (AEP).METHODS: Fifty Wistar rats were randomly divided into control group (n=10) and AEP group (n=40). A model of AEP was established by subcutaneous injection of cerulein 5.5 and 7.5 μg/kg at 0 and 1 h after the beginning of experiment respectively. PECAM-1 expression on PMNs from splenic vein and inferior vena cava was determined by RT-PCR at mRNA level and determined by flow cytometry at protein level.RESULTS: In experimental rats, an increased PECAM-1mRNA expression was seen from 4 to 8 h of AEP in peripheral circulation (0.77±0.25%, 0.76±0.28%, 0.89±0.30%,1.00±0.21% ), while in pancreatic microcirculation,expression decreased from 2 h and reached the lowest level at 6 h of AEP (0.78±0.29%, 0.75±0.26%, 0.62±0.28%,0.66±0.20%). There were significant differences at 8-h time point of AEP between peripheral circulation and pancreatic microcirculation (1.00±0.21% vs0.66±0.20%, P<0.05).Meanwhile,the difference at protein level was also found.CONCLUSION: A reverse expression of PECAM-1 on PMNs was found between peripheral circulation and pancreatic microcirculation, suggesting that inhibition of PECAM-1expression may improve the pathological change of AEP. 展开更多
关键词 Pancreatitis platelet endothelial cell adhesion molecule-1 Microcirculation CERULEIN
下载PDF
Association of G+1688A Polymorphism of Platelet Endothelial Cell Adhesion Molecule-1 Gene with Myocardial Infarction in the Chinese Han Population 被引量:1
5
作者 杨颖 程龙献 +3 位作者 Ripen Nsenga 何美安 常智堂 邬堂春 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第5期520-523,共4页
In order to investigate the association of G+1688A (Ser563Asn) polymorphism of platelet endothelial cell adhesion molecule-1 (PECAM-1) gene with myocardial infarction (MI) in the Chinese Han population, the G+... In order to investigate the association of G+1688A (Ser563Asn) polymorphism of platelet endothelial cell adhesion molecule-1 (PECAM-1) gene with myocardial infarction (MI) in the Chinese Han population, the G+1688A polymorphism in PECAM-1 gene was detected by polymerase chain reaction-restriction fragment-length polymorphism (PCR-RFLP) method among 502 subjects, including 218 patients with MI and 284 controls. The results showed that there was significant difference in AA frequencies of genotype G+1688A polymorphism between case and control groups (39% vs 24%, P〈0.001). A similar trend was observed on the allele frequencies (A/G: 62% vs 49%, P〈0.001). Among the subjects with high serum total cholesterol level or high systolic blood pressure level, the variant AA genotype was associated with high risk of MI (adjusted OR, 2.13; 95% CI, 1.08 -4.41 and adjusted OR, 2.53; 95%CI, 1.63-3.63). The single nucleotide polymorphism (SNP) at position +1688 in the exon 8 of PECAM-1 gene was associated with MI and the allele A might be a risk factor for MI in the Chinese Han population. 展开更多
关键词 platelet endothelial adhesion molecule-1 single nucleotide polymorphism myocardial infarction polymerase chain reaction-restriction fragment-length polymorphism
下载PDF
Integrin binding peptides facilitate growth and interconnected vascular-like network formation of rat primary cortical vascular endothelial cells in vitro
6
作者 Ram Kuwar Xuejun Wen +1 位作者 Ning Zhang Dong Sun 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第5期1052-1056,共5页
Neovascularization and angiogenesis in the brain are important physiological processes for normal brain development and repair/regeneration following insults. Integrins are cell surface adhesion receptors mediating im... Neovascularization and angiogenesis in the brain are important physiological processes for normal brain development and repair/regeneration following insults. Integrins are cell surface adhesion receptors mediating important function of cells such as survival, growth and development during tissue organization, differentiation and organogenesis. In this study, we used an integrin-binding array platform to identify the important types of integrins and their binding peptides that facilitate adhesion, growth, development, and vascular-like network formation of rat primary brain microvascular endothelial cells. Brain microvascular endothelial cells were isolated from rat brain on post-natal day 7. Cells were cultured in a custom-designed integrin array system containing short synthetic peptides binding to 16 types of integrins commonly expressed on cells in vertebrates. After 7 days of culture, the brain microvascular endothelial cells were processed for immunostaining with markers for endothelial cells including von Willibrand factor and platelet endothelial cell adhesion molecule. 5-Bromo-2′-dexoyuridine was added to the culture at 48 hours prior to fixation to assess cell proliferation. Among 16 integrins tested, we found that α5β1, αvβ5 and αvβ8 greatly promoted proliferation of endothelial cells in culture. To investigate the effect of integrin-binding peptides in promoting neovascularization and angiogenesis, the binding peptides to the above three types of integrins were immobilized to our custom-designed hydrogel in three-dimensional(3 D) culture of brain microvascular endothelial cells with the addition of vascular endothelial growth factor. Following a 7-day 3 D culture, the culture was fixed and processed for double labeling of phalloidin with von Willibrand factor or platelet endothelial cell adhesion molecule and assessed under confocal microscopy. In the 3 D culture in hydrogels conjugated with the integrin-binding peptide, brain microvascular endothelial cells formed interconnected vascular-like network with clearly discernable lumens, which is reminiscent of brain microvascular network in vivo. With the novel integrin-binding array system, we identified the specific types of integrins on brain microvascular endothelial cells that mediate cell adhesion and growth followed by functionalizing a 3 D hydrogel culture system using the binding peptides that specifically bind to the identified integrins, leading to robust growth and lumenized microvascular-like network formation of brain microvascular endothelial cells in 3 D culture. This technology can be used for in vitro and in vivo vascularization of transplants or brain lesions to promote brain tissue regeneration following neurological insults. 展开更多
关键词 3D culture angiogenesis brain microvascular endothelial cells hydrogel INTEGRINS platelet endothelial cell adhesion molecule(PECAM-1) vascular endothelial growth factor(VEGF) VASCULARIZATION
下载PDF
血清VCAM-1、PECAM-1水平与MMSE评分联合检测对老年全髋关节置换术患者术后谵妄的预测价值
7
作者 李繁 黎仕焕 谢爽 《天津医药》 CAS 2024年第10期1046-1051,共6页
目的探讨术前血清血管细胞黏附分子-1(VCAM-1)、血小板内皮细胞黏附分子-1(PECAM-1)水平与简易精神状态量表(MMSE)评分联合检测对老年全髋关节置换术(THA)患者术后谵妄(POD)的预测价值。方法选择住院并行手术治疗的髋部骨折老年患者200... 目的探讨术前血清血管细胞黏附分子-1(VCAM-1)、血小板内皮细胞黏附分子-1(PECAM-1)水平与简易精神状态量表(MMSE)评分联合检测对老年全髋关节置换术(THA)患者术后谵妄(POD)的预测价值。方法选择住院并行手术治疗的髋部骨折老年患者200例作为研究对象,并根据术后3 d内是否发生POD分为POD组(44例)和非POD组(156例)。收集2组患者的临床资料,术前采用MMSE评估患者的认知状况,并检测术前、术后第1天和第3天血清VCAM-1、PECAM-1水平。对比2组患者上述指标的差异,并分析术前血清VCAM-1、PECAM-1水平与MMSE评分的相关性。应用多因素Logistic回归分析老年THA患者发生POD的影响因素。构建受试者工作特征(ROC)曲线评估术前血清VCAM-1水平、PECAM-1水平、MMSE评分单独及联合检测对老年THA患者并发POD的预测价值。结果POD组年龄、医院焦虑抑郁量表评分、术中低血压发生率、术后住院时间明显高于或长于非POD组,MMSE评分低于非POD组(P<0.05)。POD组术前、术后第1天和术后第3天血清VCAM-1、PECAM-1水平升高,且高于非POD组(P<0.05)。老年THA患者术前血清VCAM-1、PECAM-1水平分别与MMSE评分呈负相关(r分别为-0.390、-0.501,均P<0.01)。术前血清VCAM-1和PECAM-1水平升高以及术后住院时间延长为老年THA患者发生POD的独立危险因素,MMSE评分升高为独立保护因素(P<0.05)。术前血清VCAM-1(AUC=0.793,95%CI:0.730~0.847)、PECAM-1(AUC=0.799,95%CI:0.736~0.852)及MMSE评分(AUC=0.805,95%CI:0.744~0.858)对THA患者发生POD均有较高的预测价值,三项指标联合预测的效能更高。结论血清VCAM-1、PECAM-1水平升高与老年THA患者认知功能受损有关,且均为老年THA患者发生POD的独立预测因子,术前检测以上指标可能对POD的早期防治具有重要价值。 展开更多
关键词 关节成形术 置换 谵妄 术后认知并发症 血管细胞黏附分子1 血小板内皮细胞黏附分子1 老年人 简易智能状态量表
下载PDF
血TG/HDL-C、PECAM-1、IL-19联合检测预测短暂性脑缺血发作患者近期发生急性脑梗死的价值
8
作者 杜迎春 高延伦 +1 位作者 侯兵兵 姚鸣鸣 《海南医学》 CAS 2024年第21期3075-3080,共6页
目的探讨联合检测血甘油三酯(TG)/高密度脂蛋白胆固醇(HDL-C)、血小板内皮细胞黏附分子1(PECAM-1)、白介素-19(IL-19)预测短暂性脑缺血发作(TIA)患者近期发生急性脑梗死(ACI)的价值。方法选取2021年2月至2023年7月平顶山市第一人民医院... 目的探讨联合检测血甘油三酯(TG)/高密度脂蛋白胆固醇(HDL-C)、血小板内皮细胞黏附分子1(PECAM-1)、白介素-19(IL-19)预测短暂性脑缺血发作(TIA)患者近期发生急性脑梗死(ACI)的价值。方法选取2021年2月至2023年7月平顶山市第一人民医院收治的353例TIA患者进行前瞻性研究,根据6个月内是否发生ACI分为ACI组(n=46)和无ACI组(n=307)。比较两组患者的基线资料及治疗前的血TG/HDL-C、PECAM-1、IL-19水平,采用多因素Logistic回归分析TG/HDL-C、PECAM-1、IL-19对TIA近期发生ACI的影响,采用受试者工作特征(ROC)曲线分析TG/HDL-C、PECAM-1、IL-19、年龄、血压、临床症状、糖尿病和持续的时间评分(ABCD3-I)预测TIA患者近期发生ACI的效能,DeLong检验比较TG/HDL-C+PECAM-1+IL-19与ABCD3-I评分的ROC曲线下面积(AUC)。结果ACI组患者的TIA发作次数、颈动脉和颅内动脉有不稳定斑块患者占比、ABCD3-I评分分别为(4.82±1.52)次、45.65%(21/46)、23.91%(11/46)、(6.86±1.24)分,明显高于无ACI组患者的(2.00±0.61)次、29.32%(90/307)、13.68%(42/307)、(4.64±0.95)分,差异均有统计学意义(P<0.05)。ACI组患者的TG/HDL-C、PECAM-1、IL-19分别为1.23±0.12、(11.42±2.36)mg/L、(82.44±17.35)ng/L,明显高于无ACI组患者的1.08±0.10、(8.99±2.64)mg/L、(67.28±19.00)ng/L,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,校正了TIA发作次数、颈动脉有不稳定斑块、颅内动脉狭窄情况、ABCD3-I评分后,TG/HDL-C、PECAM-1、IL-19仍是TIA近期发生ACI独立相关危险因素(P<0.05)。ROC分析结果显示,TG/HDL-C、PECAM-1、IL-19预测TIA近期发生ACI的AUC分别为0.812、0.792、0.798;TG/HDL-C、PECAM-1联合IL-19的AUC为0.930,大于ABCD3-I评分的0.830(P<0.05);三者联合的预测敏感度为93.48%,特异度为81.43%。结论血TG/HDL-C、PECAM-1、IL-19是TIA近期发生ACI的独立相关因素,与ABCD3-I评分相比,联合检测三者预测TIA近期发生ACI风险的价值较高,能为临床防治ACI提供一定的参考信息。 展开更多
关键词 甘油三酯/高密度脂蛋白胆固醇 血小板内皮细胞黏附分子1 白介素-19 短暂性脑缺血发作 急性脑梗死
下载PDF
血小板内皮细胞黏附分子1和平滑肌肌动蛋白对瘢痕疙瘩综合治疗预后的影响 被引量:1
9
作者 羊逸飞 许辉 +1 位作者 龙卫国 李遇梅 《江苏大学学报(医学版)》 CAS 2024年第1期57-60,共4页
目的:探究瘢痕疙瘩血管内血小板内皮细胞黏附分子1(platelet endothelial cell adhesion molecule-1,PECAM-1)与平滑肌肌动蛋白(smooth muscle actin,SMA)的表达水平对瘢痕疙瘩综合治疗预后的影响。方法:回顾性分析2020年8月至2022年6... 目的:探究瘢痕疙瘩血管内血小板内皮细胞黏附分子1(platelet endothelial cell adhesion molecule-1,PECAM-1)与平滑肌肌动蛋白(smooth muscle actin,SMA)的表达水平对瘢痕疙瘩综合治疗预后的影响。方法:回顾性分析2020年8月至2022年6月江苏大学附属医院皮肤科门诊收治的瘢痕疙瘩患者61例,共计69处瘢痕疙瘩,均接受手术切除与^(90)Sr同位素敷贴综合治疗,免疫组织化学染色检测手术切除瘢痕疙瘩标本血管内PECAM-1及SMA表达水平,电话及门诊随访6个月。结果:19处(27.5%)瘢痕疙瘩6个月内复发,11处(15.9%)在^(90)Sr同位素敷贴治疗后发生不良反应,复发组PECAM-1与SMA的高表达率均高于未复发组(χ^(2)=7.496,P=0.006;χ^(2)=5.197,P=0.023);治疗后不良反应发生率与PECAM-1及SMA的表达水平无明显关系(χ^(2)=0.172,P=0.935;χ^(2)=1.110,P=0.484)。结论:瘢痕疙瘩血管内PECAM-1及SMA的表达水平与综合治疗预后呈负相关,二者可能是判断瘢痕疙瘩预后的潜在指标。 展开更多
关键词 瘢痕疙瘩 放射性核素敷贴治疗 免疫组织化学染色 血小板内皮细胞黏附分子1 平滑肌肌动蛋白
下载PDF
Expression of platelet-endothelial cell adhesion molecule-1 in human umbilical vein endothelial cells by exposure to advanced glycosylation end products and inflammatory mediators 被引量:6
10
作者 孟丹 刘乃丰 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第9期1336-1340,共5页
Objective To determine whether advanced glycosylation end products modified bovine serum albumin (AGEs-BSA) affects endothelial cell lateral junction protein, platelet-endothelial cell adhesion molecule-1 (PECAM-1) in... Objective To determine whether advanced glycosylation end products modified bovine serum albumin (AGEs-BSA) affects endothelial cell lateral junction protein, platelet-endothelial cell adhesion molecule-1 (PECAM-1) in the presence or absence of inflammatory mediators.Methods Cultured human umbilical vein endothelial cells (HUVECs) were exposed to AGEs-BSA for 6, 12, 24, and 36 hours, and exposed to AGEs-BSA glycosylated with different concentrations of glucose, tumor necrosis factord-α (TNF-α), interferon (IFN-γ), TNF-α + IFN-y and AGEs-BSA + TNF-α for 24 hours, respectively. Expression of PECAM-1 mRNA was measured by semi-quantitative reverse transcription-polymerase chain reaction (RT-PCR) with β-actin as an internal standard, and sequencing of RT-PCR products was performed to confirm the specificity of amplification for PECAM-1 gene. The endothelial cell surface expression of PECAM-1 was determined by flow cytometry (FCM).Results There were no significant changes in the expression of PECAM-1 mRNA and protein when the cells were exposed to AGEs-BSA with different concentrations or periods ( P>0. 05). However, PECAM-1 expression was reduced in the cells treated with TNF-α, IFN-y, TNF-α + IFN-γ and AGEs-BSA + TNF-α. The level of PECAM-1 treated with AGEs-BSA + TNF-α was lower than that of TNF-α treated alone (P<0. 01).Conclusions AGEs-BSA had no effect on the expression of PECAM-1 mRNA and protein in cultured HUVEC. With the presence of inflammatory mediator TNF-α, AGEs-BSA decreased the level of PECAM-1, which might reduce the adhesion interaction between adjacent endothelial cells, enhance the permeability of endothelial cells, and might be implicated in the endothelial dysfunction and pathogenesis of atherosclerosis in patients with diabetes mellitus. The significance of this phenomenon in intracellular signal transduction remains to be determined. 展开更多
关键词 glycosylation end products advanced·platelet-endothelial cell adhesion molecule-1·umbilical vein endothelial cells·inflammation mediators
原文传递
血清ESM-1、sICAM-1与不稳定型心绞痛患者冠心病严重程度的关系及对急性心肌梗死发病的预测价值 被引量:1
11
作者 黄瑛 余朝萍 刘天虎 《中国现代医学杂志》 CAS 2024年第18期71-76,共6页
目的分析不稳定型心绞痛(UAP)患者血清内皮细胞特异分子-1(ESM-1)、可溶性细胞间黏附分子-1(sICAM-1)与冠状动脉粥样硬化性心脏病(以下简称冠心病)严重程度的关系及对急性心肌梗死(AMI)发病的预测价值。方法选取2021年1月—2023年6月成... 目的分析不稳定型心绞痛(UAP)患者血清内皮细胞特异分子-1(ESM-1)、可溶性细胞间黏附分子-1(sICAM-1)与冠状动脉粥样硬化性心脏病(以下简称冠心病)严重程度的关系及对急性心肌梗死(AMI)发病的预测价值。方法选取2021年1月—2023年6月成都医学院第三附属医院收治的78例UAP患者。采用酶联免疫吸附试验检测ESM-1、sICAM-1水平。采用Gensini评估冠脉狭窄积分,依据患者狭窄积分将其分为轻中度组和重度组,分析不同病情严重程度患者ESM-1、sICAM-1水平。给予吸氧、抗血小板、抗凝、抗心肌缺血等治疗后,随访统计治疗6个月内AMI发生情况,将发生AMI患者纳入发生组,反之为未发生组。分析影响UAP患者发生AMI的因素及其对AMI发病的预测价值。结果重度组ESM-1、sICAM-1水平均高于轻中度组(P<0.05)。发生组Gensini评分、ESM-1、sICAM-1、NYHA分级均高于未发生组(P<0.05),SAQ评分低于未发生组(P<0.05)。多因素逐步Logistic回归分析结果表明,Gensini评分[OR=4.674(95%CI:1.598,13.675)]、SAQ评分[OR=4.802(95%CI:1.641,14.049)]、ESM-1[OR=5.573(95%CI:1.905,16.306)]和sICAM-1[OR=4.411(95%CI:1.508,12.904)]是UAP患者发生AMI的危险因素(P<0.05)。受试者工作特征曲线结果表明,Gensini评分、ESM-1、sICAM-1、SAQ评分及联合预测UAP患者发生AMI的敏感性分别为70.0%(95%CI:0.570,0.830)、75.0%(95%CI:0.621,0.882)、75.0%(95%CI:0.614,0.872)、70.0%(95%CI:0.562,0.841)、90.0%(95%CI:0.862,0.904);特异性分别为72.4%(95%CI:0.584,0.863)、75.7%(95%CI:0.618,0.898)、77.6%(95%CI:0.635,0.910)、67.0%(95%CI:0.548,0.823)、91.4%(95%CI:0.773,0.944)。Gensini评分、ESM-1、sICAM-1、SAQ评分联合预测UAP患者发生AMI的价值较高,曲线下面积>0.9。结论ESM-1、sICAM-1与冠心病严重程度有关,Gensini评分、ESM-1、sICAM-1、SAQ评分联合预测UAP患者发生AMI的效能较好。 展开更多
关键词 不稳定型心绞痛 冠心病 急性心肌梗死 内皮细胞特异分子-1 可溶性细胞间黏附分子-1
下载PDF
ACI患者血清APN、Lp-PLA2、PECAM-1水平与出院后一年认知功能障碍的相关性探讨
12
作者 于媛媛 代建霞 刘媛 《脑与神经疾病杂志》 CAS 2024年第6期331-336,共6页
目的 探讨急性脑梗死(ACI)患者出院时血清脂联素(APN)、脂蛋白相关磷脂酶A2(Lp-PLA2)、血小板内皮细胞黏附分子-1 (PECAM-1)水平与长期认知功能障碍(PSCI)的相关性,为临床预测PSCI提供相关标志物。方法 选取新疆维吾尔自治区人民医院202... 目的 探讨急性脑梗死(ACI)患者出院时血清脂联素(APN)、脂蛋白相关磷脂酶A2(Lp-PLA2)、血小板内皮细胞黏附分子-1 (PECAM-1)水平与长期认知功能障碍(PSCI)的相关性,为临床预测PSCI提供相关标志物。方法 选取新疆维吾尔自治区人民医院2020年8月至2022年1月ACI患者108例,根据出院后1年时是否存在PSCI,分为认知正常组(77例)与认知障碍组(31例)。比较两组临床基本资料及入院时、出院时血清APN、Lp-PLA2、PECAM-1水平,分析血清APN、Lp-PLA2、PECAM-1水平与长期PSCI的相关性。结果 认知障碍组出院后1年简易精神状态评价量表(MMSE)评分为(22.13±2.06)分,低于认知正常组(29.14±0.31)分(P<0.05);两组年龄、神经功能缺损程度、合并糖尿病、糖化血红蛋白(HbAlc)、同型半胱氨酸(Hcy)水平差异有统计学意义(P<0.05);认知障碍组出院时血清APN水平低于认知正常组,Lp-PLA2、PECAM-1水平高于认知正常组(P<0.05);出院时血清APN水平与出院后1年MMSE评分呈正相关,Lp-PLA2、PECAM-1水平与出院后1年MMSE评分呈负相关(r=0.727、-0.667、-0.750,均P<0.05);Logistic回归分析,将其他因素校正前后,出院时血清APN、Lp-PLA2、PECAM-1水平均与ACI患者长期PSCI独立相关(P<0.05);出院时血清APN、LpPLA2、PECAM-1水平预测ACI患者长期PSCI的AUC分别为0.783 (95%CI:0.693~0.857)、0.736 (95%CI:0.643~0.817)、0.827 (95%CI:0.743~0.893),联合预测ACI患者长期PSCI的AUC为0.936 (95%CI:0.872~0.974),优于3者单独预测。结论 ACI患者出院时血清APN、Lp-PLA2、PECAM-1水平与长期PSCI独立相关,可作为临床早期预测指标,且联合预测价值可靠。 展开更多
关键词 急性脑梗死 脂联素 脂蛋白相关磷脂酶A2 血小板内皮细胞黏附分子-1认知功能障碍 相关性
下载PDF
血清ESM-1、sICAM-1水平对帕金森病患者发生认知障碍的预测价值
13
作者 冯利民 李淑慧 《中国民康医学》 2024年第4期123-126,共4页
目的:分析血清内皮细胞特异性分子-1(ESM-1)、可溶性细胞间黏附分子-1(sICAM-1)水平对帕金森病(PD)患者发生认知障碍的预测价值。方法:选取2020年8月至2022年12月该院收治的93例PD患者进行前瞻性研究,根据蒙特利尔认知评估量表(MoCA)评... 目的:分析血清内皮细胞特异性分子-1(ESM-1)、可溶性细胞间黏附分子-1(sICAM-1)水平对帕金森病(PD)患者发生认知障碍的预测价值。方法:选取2020年8月至2022年12月该院收治的93例PD患者进行前瞻性研究,根据蒙特利尔认知评估量表(MoCA)评分将其分为认知正常组(n=50)和认知障碍组(n=43),另选取同期50名健康体检者,设为对照组。比较三组ESM-1、sICAM-1水平及MoCA评分,采用Pearson相关性分析血清ESM-1、sICAM-1水平与认知障碍的相关性,并绘制受试者工作特征(ROC)曲线分析血清ESM-1、sICAM-1单项及联合检测预测PD患者发生认知障碍的价值。结果:认知障碍组、认知正常组血清ESM-1水平、MoCA评分均低于对照组,且认知障碍组低于认知正常组,差异有统计学意义(P<0.05);认知障碍组、认知正常组血清sICAM-1水平均高于对照组,且认知障碍组高于认知正常组,差异有统计学意义(P<0.05);Pearson相关性分析结果显示,血清ESM-1水平与认知功能呈正相关(r>0,P<0.05);血清sICAM-1水平与认知功能呈负相关(r<0,P<0.05);ROC曲线结果显示,血清ESM-1、sICAM-1水平单项及联合预测PD患者发生认知障碍的曲线下面积分别为0.643、0.605、0.911,其中联合检测预测价值最高。结论:血清ESM-1水平与认知功能呈正相关,血清sICAM-1水平与认知功能呈负相关,且血清ESM-1、sICAM-1水平联合检测预测PD患者发生认知障碍的价值高于两者单项检测预测价值。 展开更多
关键词 帕金森病 内皮细胞特异性分子-1 可溶性细胞间黏附分子-1 认知障碍
下载PDF
Effects of cardiopulmonary bypass on endothelial cell injury
14
作者 程伟 肖颖彬 +2 位作者 陈林 钟前进 王学锋 《Journal of Medical Colleges of PLA(China)》 CAS 2004年第1期48-50,共3页
Objective: To observe the changes of plasma concentrations of endotoxin, soluble intercellular adhesion molecule 1, tumor necrosis factor α, and urinary microalbumin in children undergoing cardiac procedure and to st... Objective: To observe the changes of plasma concentrations of endotoxin, soluble intercellular adhesion molecule 1, tumor necrosis factor α, and urinary microalbumin in children undergoing cardiac procedure and to study the effects of cardiopulmonary bypass (CPB) on the injury or activation of endothelial cells and vascular permeability. Methods: Twenty children undergoing cardiac operation with CPB were selected in the study. Plasma concentrations of endotoxin, soluble intercellular adhesion molecule 1, tumor necrosis factor α, and urinary microalbumin were measured after anesthetic induction (baseline), bypass for 20 minutes, at the end of CPB, and at 2, 4, and 18 h after the end of CPB. Results: The plasma concentrations of endotoxin, soluble intercellular adhesion molecule 1, and urinary microalbumin began to increase at 2 h after the end of CPB, and remained higher than that of the baseline, while the concentration of tumor necrosis factor α increased only at the end CPB and at 2 h after the end of CPB. Conclusion: Cardiopulmonary bypass can induce inflammatory response, resulting in the activation or injury of vascular endothelial cells, and can increase the vascular permeability. 展开更多
关键词 cardiopulmonary bypass endothelial cell injury ENDOTOXIN soluble intercellular adhesion molecule 1 tumor necrosis factor α urinary microalbumin
下载PDF
血小板聚集率、ET-1、sEPCR对患者术后下肢深静脉血栓形成的预测效能
15
作者 魏铁垒 刘景春 +3 位作者 杨牧源 王英 张福红 郭俊超 《海南医学》 CAS 2024年第11期1628-1632,共5页
目的探讨血小板聚集率、内皮素-1(ET-1)、可溶性内皮细胞蛋白C受体(sEPCR)对患者术后下肢深静脉血栓(DVT)形成的预测效能。方法回顾性选取2019年6月至2023年3月许昌市人民医院收治的250例骨科手术患者作为研究对象,以术后第7天下肢静脉... 目的探讨血小板聚集率、内皮素-1(ET-1)、可溶性内皮细胞蛋白C受体(sEPCR)对患者术后下肢深静脉血栓(DVT)形成的预测效能。方法回顾性选取2019年6月至2023年3月许昌市人民医院收治的250例骨科手术患者作为研究对象,以术后第7天下肢静脉彩超阳性报告术后并发DVT作为判断依据,将患者分为DVT组77例和非DVT组173例。比较两组患者术前1 d、术后1 d、术后3 d的血小板聚集率、ET-1、sEPCR水平,采用Spearman相关系数分析各指标术后水平与术后发生DVT的相关性,绘制受试者工作特征曲线(ROC)评价各指标联合检测对术后患者发生DVT的预测价值,并分析各指标不同水平患者术后发生DVT的危险度。结果术后1 d、3 d,DVT组患者的血小板聚集率、ET-1、sEPCR水平[(67.41±5.02)%、(73.46±6.23)ng/mL、(159.34±13.91)ng/L,(61.79±4.85)%、(68.17±5.31)ng/mL、(147.39±12.46)ng/L]明显高于非DVT组[(49.25±4.87)%、(55.28±5.36)ng/mL、(115.29±12.28)ng/L,(40.02±4.17)%、(46.15±4.29)ng/mL、(90.36±11.17)ng/L],差异均有统计学意义(P<0.05);经Speraman相关系数分析结果显示,术后1 d、3 d血小板聚集率(r=0.682、0.711)、ET-1(r=0.653、0.691)、sEPCR(r=0.535、0.728)与术后发生DVT均呈正相关(P<0.05);经ROC分析结果显示,术后1 d、3 d,血小板聚集率、ET-1、sEPCR水平联合预测术后发生DVT的AUC分别为0.898(95%CI:0.854~0.933)、0.928(95%CI:0.889~0.957);经危险度分析结果显示,术后1 d、3 d血小板聚集率、ET-1、sEPCR高水平患者术后发生DVT的危险度分别是低水平的2.181倍、2.463倍、3.073倍和3.058倍、3.611倍、4.247倍(P<0.05)。结论血小板聚集率、ET-1、sEPCR水平与术后DVT发生呈正相关,三者联合检测对术后是否发生DVT有预测价值,可作为临床预测骨科术后发生DVT的有效指标。 展开更多
关键词 术后 下肢深静脉血栓 血小板聚集率 内皮素-1 可溶性内皮细胞蛋白C受体 预测效能
下载PDF
血清PECAM-1、PLGF水平联合子宫动脉多普勒超声参数检测在妊娠高血压患者不良妊娠结局中的预测价值
16
作者 朱会玲 王晓莹 李虹瑾 《航空航天医学杂志》 2024年第8期901-904,共4页
目的探究子宫动脉多普勒超声参数、血清血小板内皮细胞黏附分子-1(PECAM-1)、胎盘生长因子(PLGF)联合检测对妊娠高血压(HDCP)患者不良妊娠结局的预测价值。方法选取2022年09月-2023年08月于我院就诊的65例HDCP患者作为观察组,同期选取6... 目的探究子宫动脉多普勒超声参数、血清血小板内皮细胞黏附分子-1(PECAM-1)、胎盘生长因子(PLGF)联合检测对妊娠高血压(HDCP)患者不良妊娠结局的预测价值。方法选取2022年09月-2023年08月于我院就诊的65例HDCP患者作为观察组,同期选取65例健康产检者作为对照组进行研究,比较2组及不同程度HDCP患者子宫动脉多普勒超声参数[脐动脉搏动指数(PI)、阻力指数(RI)、血流速度峰谷比(S/D)]及血清PECAM-1、PLGF水平,通过比较不同妊娠结局的子宫动脉多普勒超声参数及血清PECAM-1、PLGF水平,绘制受试者工作特性(ROC)曲线分析预测价值。结果研究组RI、PI、S/D均高于对照组,且不良妊娠结局者RI、PI、S/D高于良好妊娠者(P<0.05);研究组及不良妊娠结局者血清PECAM-1、PLGF水平均明显低于对照组及良好妊娠结局者(P<0.05);HDCP组血清PECAM-1、PLGF水平高于轻度子痫前期组,PI、RI、S/D低于轻度子痫前期组;重度子痫前期组血清PLGF、PECAM-1水平低于轻度子痫前期组,RI、PI、S/D高于轻度子痫前期组(P<0.05);血清PECAM-1、PLGF水平联合多普勒超声参数(子宫动脉)预测HDCP患者不良妊娠结局的AUC为0.916,95%CI为0.820~0.970,均高于单独诊断。结论血清PECAM-1、PLGF水平、子宫动脉多普勒超声参数联合检测在预测HDCP疾病不良妊娠结局中具有较高的预测价值,临床意义较高。 展开更多
关键词 子宫动脉多普勒超声参数 血小板内皮细胞黏附分子-1 胎盘生长因子 妊娠高血压 不良妊娠结局
下载PDF
Nrf2、LTBP2、PECAM1与NSCLC患者EGFR靶向治疗反应性关系及意义
17
作者 李旭东 朱东全 姚凤佳 《医学理论与实践》 2024年第6期905-907,904,共4页
目的:探讨血清核因子E2相关因子2(Nrf2)、转化生长因子结合蛋白2(LTBP2)、血小板内皮细胞黏附分子1(PECAM1)与非小细胞肺癌(NSCLC)患者表皮生长因子受体(EGFR)靶向治疗反应性关系及意义。方法:选取我院2021年1月—2023年1月收治的95例NS... 目的:探讨血清核因子E2相关因子2(Nrf2)、转化生长因子结合蛋白2(LTBP2)、血小板内皮细胞黏附分子1(PECAM1)与非小细胞肺癌(NSCLC)患者表皮生长因子受体(EGFR)靶向治疗反应性关系及意义。方法:选取我院2021年1月—2023年1月收治的95例NSCLC患者为研究对象,根据EGFR靶向治疗3个月后的治疗反应性分为有效组(54例)、无效组(41例)。比较2组治疗前及治疗1个月、2个月后血清Nrf2、LTBP2、PECAM1水平,分析治疗1个月、2个月后血清Nrf2、LTBP2、PECAM1水平与NSCLC患者EGFR靶向治疗反应性相关性,偏回归分析治疗无效的影响因素,受试者工作特征曲线(ROC)分析治疗1个月、2个月后血清Nrf2、LTBP2、PECAM1水平联合检测对NSCLC患者EGFR靶向治疗效果的预测价值。结果:治疗1个月、2个月后无效组血清Nrf2、LTBP2、PECAM1水平均高于有效组(P<0.05);相关性分析发现,治疗1个月、2个月后血清Nrf2、LTBP2、PECAM1水平与治疗反应性均呈负相关(P<0.05);Logistic回归分析发现,治疗1个月、2个月后血清Nrf2、LTBP2、PECAM1水平为NSCLC患者EGFR靶向治疗效果的影响因素(P<0.05);ROC曲线分析发现,治疗1个月、2个月后血清Nrf2、LTBP2、PECAM1水平联合预测治疗无效的曲线下面积(AUC)分别为0.761、0.816,最佳预测敏感度、特异度分别为(85.37%、66.67%)、(92.68%、70.37%),高于单一指标预测(P<0.05)。结论:血清Nrf2、LTBP2、PECAM1水平与NSCLC患者EGFR靶向治疗反应性密切相关,并在预测治疗效果方面具有较高效能。 展开更多
关键词 非小细胞肺癌 表皮生长因子受体靶向治疗 治疗反应性 核因子E2相关因子2 转化生长因子结合蛋白2 血小板内皮细胞黏附分子1
下载PDF
Correlation of PECAM-1 gene C373G locus polymorphism with endothelial injury and placental pathological damage in patients with preeclampsia
18
作者 Mei Yan Ban-Ming Wu Li Zeng 《Journal of Hainan Medical University》 2017年第11期103-106,共4页
Objective:To study the correlation of PECAM-1 gene C373G locus polymorphism with endothelial injury and placental pathological damage in patients with preeclampsia.Methods:Pregnant women with preeclampsia and healthy ... Objective:To study the correlation of PECAM-1 gene C373G locus polymorphism with endothelial injury and placental pathological damage in patients with preeclampsia.Methods:Pregnant women with preeclampsia and healthy pregnant women delivering in Obstetrics Department of Yibin Second People's Hospital between May 2014 and September 2016 were selected and enrolled in PE group and control group respectively. Peripheral blood was collected to determine PECAM-1 gene C373G polymorphism as well as the contents of endothelial injury molecules sEng, PAR-1, sFlt-1 and ET-1;placenta tissue was collected to determine the contents of pathological damage molecules Gadd45 , TIMP2, Fas, Apaf-1 and caspase-3.Results:PECAM-1 gene C373G locus GC and GG genotype constituent ratio and allele G constituent ratio in peripheral blood of PE group were significantly higher than those of control group while CC genotype constituent ratio and allele C constituent ratio were significantly lower than those of control group. sFlt-1, sEng, PAR-1 and ET-1 contents in serum as well as Gadd45 , TIMP2, Fas, Apaf-1 and caspase-3 contents in placenta of PE group were significantly higher than those of control group;sFlt-1, sEng, PAR-1 and ET-1 contents in serum as well as Gadd45 , TIMP2, Fas, Apaf-1 and caspase-3 contents in placenta of PE patients with PECAM-1 gene C373G locus GC and GG genotypes were higher than those of PE patients with CC genotype.Conclusion: Increased allele G in PECAM-1 gene C373G loci is closely correlated with endothelial injury and placental pathological damage in patients with preeclampsia. 展开更多
关键词 PREECLAMPSIA platelet endothelial cell adhesion molecule-1 GENE POLYMORPHISM endothelial injury
下载PDF
脑出血患者脑组织中EPCR、PECAM-1表达水平与疾病严重程度的关系
19
作者 金俊 唐森 《中国医学工程》 2024年第10期25-29,共5页
目的探究脑出血患者脑组织中内皮细胞蛋白C受体(EPCR)、血小板内皮细胞黏附分子1(PECAM-1)表达水平与疾病严重程度的关系。方法选取2019年3月至2020年8月于驻马店市中心医院就诊的脑出血患者100例为研究对象,收集临近血肿0.5 cm脑组织(... 目的探究脑出血患者脑组织中内皮细胞蛋白C受体(EPCR)、血小板内皮细胞黏附分子1(PECAM-1)表达水平与疾病严重程度的关系。方法选取2019年3月至2020年8月于驻马店市中心医院就诊的脑出血患者100例为研究对象,收集临近血肿0.5 cm脑组织(脑出血组织标本,脑出血组)和远隔血肿位置的脑组织(对照组织标本,对照组)。根据出血量的不同将患者分为少量组(n=35)、中量组(n=44)、大量组(n=21);根据病情严重程度将患者分为轻型组(n=40)、中型组(n=40)例、重型组(n=20)。采用免疫组织化学法检测组织中EPCR、PECAM-1表达水平;Spearman法分析脑出血组织EPCR、PECAM-1阳性表达率与美国国立卫生研究院卒中量表(NIHSS)评分的相关性;Logistic回归分析脑出血发生的影响因素。结果免疫组织化学染色结果显示,EPCR在脑出血组的阳性表达率高于对照组,而PECAM-1在脑出血组的阳性表达率低于对照组(P<0.05);少量组、中量组、大量组脑出血组织EPCR阳性表达率依次升高,PECAM-1阳性表达率依次降低(P<0.05);轻型组、中型组、重型组脑出血组织EPCR阳性表达率依次升高,PECAM-1阳性表达率依次降低(P<0.05);脑出血组织EPCR阳性表达率与患者NIHSS评分呈正相关(r=0.416,P<0.001),PECAM-1阳性表达率与患者NIHSS评分呈负相关(r=-0.337,P<0.001);EPCR是影响脑出血发生的危险因素,而PECAM-1是影响脑出血发生的保护因素(P<0.05)。结论脑出血患者脑组织中EPCR呈高表达,PECAM-1呈低表达,均与病情严重程度和出血量有关,可能作为评估脑出血患者病情的潜在标志物。 展开更多
关键词 内皮细胞蛋白C受体 血小板内皮细胞黏附分子1 脑出血 疾病严重程度
下载PDF
PECAM-1、心室重构与急性心肌梗死冠脉介入术后合并重度心力衰竭的相关性及预后预测
20
作者 陈荣红 《中华养生保健》 2024年第9期17-20,共4页
目的探讨血小板内皮细胞黏附分子-1(PECAM-1)、心室重构与急性心肌梗死冠脉介入术后合并重度心力衰竭的相关性及预后预测价值。方法选取2020年5月—2023年5月内蒙古包钢医院收治的80例急性心肌梗死冠脉介入术后合并心力衰竭患者作为研... 目的探讨血小板内皮细胞黏附分子-1(PECAM-1)、心室重构与急性心肌梗死冠脉介入术后合并重度心力衰竭的相关性及预后预测价值。方法选取2020年5月—2023年5月内蒙古包钢医院收治的80例急性心肌梗死冠脉介入术后合并心力衰竭患者作为研究对象,应用Killip分级来评价患者心力衰竭严重程度并进行分组,将其分为Ⅰ级组16例,Ⅱ级组23例,Ⅲ级组20例,Ⅳ级组21例,另选取同期来内蒙古包钢医院体检的30名健康志愿者作为对照组。对比五组患者PECAM-1与心室重构指标水平,应用Spearman相关分析PECAM-1、心室重构与急性心肌梗死冠脉介入术后合并重度心力衰竭的相关性。随后将80例急性心肌梗死冠脉介入术后合并心力衰竭患者中院内死亡者分为死亡组(n=20),将其余患者分为存活组(n=60),对比两组患者临床一般情况,并分析PECAM-1、心室重构对急性心肌梗死冠脉介入术后合并心力衰竭预后的预测价值。结果Ⅳ级患者PECAM-1、左心室质量指数(LVMI)明显高于Ⅲ级、Ⅱ级、Ⅰ级和对照组,左心室重构指数(LVRI)低于Ⅲ级、Ⅱ级、Ⅰ级和对照组(P<0.05);Spearman相关分析结果显示:PECAM-1、LVMI与急性心肌梗死冠脉介入术后合并重度心力衰竭呈正相关,LVRI与急性心肌梗死冠脉介入术后合并重度心力衰竭呈负相关(P<0.05);存活组与死亡组患者Killip分级、合并陈旧性心肌梗死、PECAM-1、LVRI、LVMI水平对比,差异有统计学意义(P<0.05);logistic回归分析结果表明:PECAM-1(OR=2.458,95%CI:1.359~3.257)、LVRI(OR=2.546,95%CI:1.364~3.475)、LVMI(OR=2.774,95%CI:1.876~4.010)为急性心肌梗死介入术后合并心力衰竭的独立预测指标(P<0.05)。结论PECAM-1、心室重构与急性心肌梗死冠脉介入术后合并重度心力衰竭具有明显相关性,且能够通过PECAM-1与心室重构情况来预测急性心肌梗死冠脉介入术后合并重度心力衰竭的预后情况。 展开更多
关键词 血小板内皮细胞黏附分子-1 心室重构 急性心肌梗死 冠脉介入 心力衰竭
下载PDF
上一页 1 2 8 下一页 到第
使用帮助 返回顶部