首页|单核细胞趋化蛋白-1对下肢动脉粥样硬化的诊断价值探讨

单核细胞趋化蛋白-1对下肢动脉粥样硬化的诊断价值探讨

Value of monocyte Chemotactic protein-1 in diagnosis on lower extremity atherosclerosis

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目的 检测下肢动脉粥样硬化(LEAD)患者血清单核细胞趋化蛋白-1(MCP-1)的水平,探讨血清MCP-1对LEAD的诊断价值.方法 将选取的163例研究对象按照踝肱指数(ABI)值分成LEAD组和非LEAD组,采用酶联免疫吸附法测定血清MCP-1水平,并分析其与LEAD危险因素的相关性;应用ROC曲线分析血清MCP-1对LEAD的诊断价值.结果 LEAD组血清MCP-1水平明显高于非LEAD组(P<0.05);血清MCP-1浓度与心率、收缩压、舒张压呈正相关,而与甘油三酯呈负相关(P<0.05);以血清MCp-1浓度作为诊断LEAD的指标,ROC曲线下面积为0.801 (P< 0.05),其诊断临界点为131.50 pdml.结论 血清MCP-1对LEAD的诊断价值中等,可考虑作为诊断LEAD的生物学指标之一.
Objective To detect the levels of serum monocyte chemotactic protein-1 (MCP-1) and explore the diagnostic value of serum MCP-1 in patients with lower extremity atherosclerosis (LEAD).Methods The 163 patients selected as research subjects were divided into LEAD group and non-LEAD group according to the ankle brachial index (API) value.The levels of serum MCP-1 were determined by enzyme-linked immunosorbent assay (ELISA),and the correlation with risk factors of LEAD was analyzed.ROC curve was drawn to analyze the value of serum MCP-1 in diagnosis on LEAD.Results The levels of serum MCP-1 in the LEAD group was significantly higher than that in the non-LEAD group (P < 0.05);the concentration of serum MCP-1 is positively correlated with the heart rate (HR),systolic blood pressure (SBP),and diastolic blood pressure (DBP) while negatively correlated with triglyceride(P < 0.05).The concentration of serum MCP-1 was taken as a diagnostic index of LEAD,the area under ROC curve was 0.801 (P < 0.05),and the critical point for diagnosis was 131.50 pg/ml.Conclusion The serum MCP-1 has moderate value in diagnosis on LEAD,and it can be considered as one of the biological indicators in diagnosis on LEAD.

monocyte chemotactic protein-1lower extremityatherosclerosisdiagnosis

姚若花、曹洁、杨星

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550004,贵阳,贵州医科大学公共卫生学院

解放军44医院成都军区老年血管病诊疗中心

单核细胞趋化蛋白-1 下肢 动脉粥样硬化 诊断

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(1)
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