首页|血清抵抗素、ox-LDL及MMP-9水平与老年ACI患者颈动脉斑块的关系

血清抵抗素、ox-LDL及MMP-9水平与老年ACI患者颈动脉斑块的关系

Relationship between levels of serum resistin, ox-LDL and MMP-9 and carotid artery plaque in senile patients with ACI

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目的 观察血清抵抗素、氧化低密度脂蛋白(ox-LDL)及金属蛋白酶-9(MMP-9)水平与老年急性脑梗死(ACI)患者颈动脉斑块的关系.方法 分析医院收治的120例老年急性脑梗死住院患者,根据颈动脉内膜中层(IMT)厚度分为IMT正常组60例,斑块组60例;另选取同期正常健康体检者30例为健康组.采用酶联免疫吸附法(ELISA)测定各组血清抵抗素、ox-LDL及MMP-9水平.结果 IMT正常组TC、TG、HDL-C分别与斑块组和健康组比较,差异均无统计学意义(P>0.05);斑块组BMI、TC、TG显著高于健康组,而HDL-C显著低于健康组(P<0.05).斑块组血清抵抗素、ox-LDL和MMP-9水平均显著高于IMT正常组和健康组(P<0.05),而IMT正常组又显著高于健康组(P<0.05).Spearman相关性分析显示,斑块组血清抵抗素及ox-LDL水平与血清MMP-9水平呈正相关,而血清抵抗素与ox-LDL亦呈明显正相关.结论 血清抵抗素、ox-LDL和MMP-9水平可在一定程度上反映老年脑梗死患者颈动脉斑块严重程度,可作为诊断老年颈动脉形成的重要参考指标.
Objective To explore the relationship between the levels of serum resistin,oxidized low-density lipoprotein(ox-LDL) and matrix metalloproteinase-9 (MMP-9) and carotid artery plaque in senile patients with acute cerebral infarction (ACI).Methods A total of 120 senile patients suffering ACI to receive treatment in our hospital were divided into normal-IMT group and plaque group (n =60,respectively) according to the carotid intima-media thickness (IMT),and another batch of persons in normal healthy condition were selected to constitute a health group (n =30).Enzyme-linked immunosorbent assay (ELISA) was adopted for determining the levels of serum resistin,ox-LDL and MMP-9.Results Compared with those in the plaque group and the health group,the TC,TG,and HDL-C in the normal-IMT group has no significant differences (P > 0.05);the BMI,TC,and TG in the plaque group were significantly higher than those in the health group,while the HDL-C was significantly lower than that in health group (P < 0.05).The average levels of serum resistin,ox-LDL and MMP-9 in the plaque group were significantly higher than those in the normal-IMT group and the health group(P < 0.05),and those in the normal-IMT group were significantly higher than those in the health group (P < 0.05).Spearman correlation analysis showed that in the plaque group the serum resistin and ox-LDL kept a positive correlation with the MMP-9 and serum resistin kept a positive correlation with the ox-LDL.Conclusion The serum resistin,ox-LDL and MMP-9 can reflect the severity of carotid artery plaque in senile patients ACI,so they can be used as an important reference index in the diagnosis on senile carotid artery plaque.

cerebral infarctioncarotid arteryplaqueresistinoxidized low-density lipoproteinmetalloproteinase-9

孟凤珠、温凯、张芙荣、卫萌

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710061西安,西安市第一医院老年神经内科

710061西安,西安市第一医院超声科

西安交通大学第一附属医院神经内科

脑梗死 颈动脉 斑块 抵抗素 氧化低密度脂蛋白 金属蛋白酶-9

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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