首页|17-OH、17-KS、VMA、ALD和COR在心血管疾病中的诊断价值

17-OH、17-KS、VMA、ALD和COR在心血管疾病中的诊断价值

The Clinical Value of 17-OH, 17-KS, VMA, ALD and COR in the Diagnosis of Cardiovascular Diseases

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目的:探讨尿17羟皮质类固醇(17-OH)、17酮皮质类固醇(17-KS)、香草扁桃酸(VMA)、血浆醛固酮(ALD)和血清皮质醇(COR)在心血管疾病中的水平变化及应用价值.方法:应用微柱比色法和电化学发光法对116例原发性高血压(PH)患者、52例继发性高血压(SH)患者和 21例冠心病(CHD)患者进行24h尿液17-OH 、17-KS、VMA和血浆ALD、血清COR的检测,以30例健康人作为正常对照组.结果:与正常对照组比较,SH组17-OH、17-KS、VMA、ALD和COR水平均较对照组和PH组增高,具统计学意义(P<0.01,P<0.001);CHD组尿17-OH 、17-OH和血浆ALD、血清COR水平较正常对照组明显增高,具统计学意义(P<0.01,P<0.05);相关实验显示,ALD与17-OH、17- KS之间呈正相关(r=0.502、0.796,P<0.01);COR与17-OH、17- KS之间亦呈正相关(r=0.648、0.584,P<0.01);ALD、COR与VMA之间无相关性(P>0.05).结论:尿17-OH、17-KS、VMA、血浆ALD、血清COR水平联检在PH和SH的鉴别诊断、针对性治疗和CHD的预后判断等方面具有重要临床价值.
Objective Discussion on 17-OH, 17-KS, VMA, AID and COR levels in cardiovascular disease and its applicative value. Methods With micro column chromatography and electrochemiluminescence as the method to detecte 24h urine 17-OH, 17-OH, VMA and plasma ALD, serum COR levels in 116 patients with primary hypertension, 52 patients with secondary hypertension and 21 patients with coronary heart disease( CHD),30 cases of healthy people served as the normal control group. Results Compared with the control group, 17-OH, 17-KS, VMA, ALD and COR levels expressed lower in secondary hypertension group than those in the control group and hypertension group; 17-OH, 17-OH and ALD, COR levels showed significantly higher in CHD group than the control group(P<0.01, P<0.05) ; Related experiments show a positive correlation between ALD and urine 17-OH, 17- KS(r =0.502, 0.796, P<0.01) ; and a positive correlation between COR and urine 17-OH, 17-KS(r =0.648,0.584, P<0.01); there is no corns-lation between plasma AID, serum COR and urine VMA(P>0.05). Conclusion Urine 17-OH, 17-KS, VMA, plasma AID, serum COR as the combined detection, it provides important clinical values in differential diagnosis of primary, secondary hypertension for treatment and judging the prognosis of CHD.

17-OH17-KSVMAALDCORprimary hypertension( PH)coronary heart disease(CHD)

李继霞、罗南萍、公衍文、胡成进

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济南军区总医院实验诊断科,250031

17-羟皮质类固醇 17-酮皮质类固醇 香草扁桃酸 醛固酮 皮质醇 原发性高血压 冠心病

2013

放射免疫学杂志
同济大学

放射免疫学杂志

CSTPCD
影响因子:0.508
ISSN:1008-9810
年,卷(期):2013.26(6)
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