首页|原发性高血压患者内皮抑素和基质裂解素2表达水平及临床意义分析

原发性高血压患者内皮抑素和基质裂解素2表达水平及临床意义分析

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目的 探讨内皮抑素、基质裂解素 2(ST2)在原发性高血压患者中的表达水平及其临床意义.方法 选取 2020 年 9 月至 2022 年 2 月常熟市第一人民医院收治的 115例原发性高血压患者为观察组,另选取 115 例健康体检者为对照组.比较观察组、对照组一般资料及血清内皮抑素、ST2、一氧化氮(NO)水平;分析原发性高血压患者血清内皮抑素、ST2水平与NO、舒张压、收缩压、尿微量清蛋白的关系;分析原发性高血压发生的影响因素.结果 观察组患者舒张压、收缩压、尿微量清蛋白及血清内皮抑素、ST2 高于对照组,NO水平低于对照组,差异均有统计学意义(t=29.882、35.966、40.670、12.838、16.792、15.507,P<0.05).原发性高血压患者血清内皮抑素、ST2水平与NO呈负相关(r=-0.504、-0.556,P<0.05),与舒张压、收缩压、尿微量清蛋白均呈正相关(r=0.517、0.450、0.485、0.503、0.548、0.446,P<0.05);多因素Logistic回归分析结果显示,内皮抑素、ST2、NO是原发性高血压发生的影响因素(OR=2.593、2.434、0.646,P<0.05).结论 原发性高血压患者血清内皮抑素、ST2 水平较高,两者均与内皮功能指标NO相关,且是原发性高血压的影响因素.
Expression levels and clinical significance of endostatin and suppression of tumorigenicity-2 in patients with essential hypertension
Objective To investigate the expression levels of endostatin and suppression of tumorigenicity-2(ST2)in patients with essential hypertension and their clinical significance.Methods A total of 115 essential hypertension patients admitted to Changshu First People's Hospital from September 2020 to February 2022 were selected as the observation group.Another 115 healthy indivduals undergoing physical examination were selected as the control group.The general data and serum levels of endostatin,ST2 and nitric oxide(NO)in the observation group and control group were compared.The relationships between serum levels of endostatin,ST2,NO,diastolic blood pressure(DBP),systolic blood pressure(SBP),and urine microalbumin in essential hypertension patients were analyzed.The influencing factors for the occurrence of essential hypertension were also analyzed.Results The DBP,SBP,urine microalbumin,serum endostatin and ST2 in the observation group were higher than those in the control group,while the level of NO was lower,there were statistically significant differences(t=29.882,35.966,40.670,12.838,16.792,15.507;P<0.05).The levels of serum endostatin and ST2 in essential hypertension patients were negatively correlated with NO(r=-0.504,-0.556;P<0.05)and positively correlated with DBP,SBP,and urine microalbumin(r=0.517,0.450,0.485,0.503,0.548,0.446;P<0.05).Multivariate Logistic regression analysis indicated that endostatin,ST2,and NO were influencing factors for the occurrence of essential hypertension(OR=2.593,2.434,0.646;P<0.05).Conclusion The levels of serum endostatin and ST2 in essential hypertension patients are higher,both of them are related to the endothelial function indicator NO and are influencing factors for essential hypertension.

EndostatinSuppression of tumorigenicity-2Nitric oxideEssential hypertension

王志松、刘波、韩冷

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215500 江苏省常熟市第一人民医院心内科

内皮抑素 基质裂解素2 一氧化氮 原发性高血压

2024

心脑血管病防治
浙江省心脑血管病防治办公室,浙江省预防医学会,浙江医院

心脑血管病防治

CSTPCD
影响因子:0.638
ISSN:1009-816X
年,卷(期):2024.24(11)