首页|脂联素与高血压病患者心肌纤维化及血管内皮功能的相关性研究

脂联素与高血压病患者心肌纤维化及血管内皮功能的相关性研究

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目的:观察脂联素与高血压病患者心肌纤维化及血管内皮功能的相关性,探讨脂联素对高血压心肌纤维化的影响及作用机制.方法:测定80例初发高血压病患者(高血压组)和80例健康者(对照组)的血清脂联素、血浆内皮素-1(ET-1)、血清Ⅰ型前胶原(PC Ⅰ)、Ⅲ型前胶原(PC Ⅲ)、血清一氧化氮(NO)、肱动脉血流介导的血管内皮依赖性舒张功能(FMD)等指标.结果:高血压组患者的血清PC Ⅰ,PC Ⅲ、血浆ET-1和收缩压显著高于对照组(P<0.05),血清脂联素、NO和FMD显著低于对照组(P<0.05).高血压病患者的血清脂联素与FMD(r=0.483)和NO(r=0.417)呈显著正相关;与血清PC Ⅲ(r=0.601),PC Ⅰ(r=0.552),ET-1(r=0.429)和收缩压(r=0.321)呈显著负相关.结论:脂联素可通过增加NO,减少ET-1的释放而改善血管内皮功能,抑制高血压心肌纤维化过程.
Correlation between adiponectin and myocardial fibrosis,vascular endothelial function in hypertensives
AIM:To investigate the correlation between adiponectin and myocardial fibrosis,vascular endothelial function and evaluate function and mechanism of adiponectin on myocardial fbrosis in hypertension.METHODS:Serum adiponectin,plasma endothelin-1(ET-1),procollagen type Ⅰ(PC I),procollagen type Ⅲ(PC Ⅲ),serum nitric oxide(NO)and flow-mediated dilation(FMD)were measured in eighty newly diagnosed hypertensives(hypertensive group)and eighty healthy persons(control group).RESULTS:PC Ⅰ,PC Ⅲ,plasma ET-1 and systolic pressure were significantly higher than in control group(P<0.05),while serum adiponectin,NO and FMD were significantly lower than in control group(P<0.05).Serum adiponectin levels were positively correlated with FMD(r=0.483)and NO(r=0.417),while negatively correlated with PC Ⅲ(r=0.601),PC Ⅰ(r=0.552),ET-1(r=0.429)and systolic pressure(r=0.321).CONCLUSION:Adiponectin may improve vascular endothelial function and inhibit myocardial fibrosis in hypertension via increasing NO and reducing ET-1.

adiponectinhypertensionmyocardial fibrosisvascular endothelial function

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西安交通大学第二医院老年病科,陕西,西安,710004

脂联素 高血压 心肌纤维化 血管内皮功能

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(21)
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