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腹膜透析患者胎球蛋白A和C反应蛋白与患者心血管事件发生的相关性研究
作者:梅俪凡 李碧霜 吴海珍  
单位:南方医科大学附属中山博爱医院
关键词:腹膜透析 胎球蛋白 心血管事件 相关性 
分类号:
出版年·卷·期(页码):2015·43·第一期(79-82)
摘要:

【摘要】目的:探讨腹膜透析患者胎球蛋白A和C反应蛋白与其发生心血管事件相关性。方法:选取²0¹¹年¹月至²0¹4年¹月于我院肾内科进行胸膜透析的患者¹00例,其中有50例患者已并发心血管疾病,另外50名患者无并发心血管疾病,依此分别作为观察组和对照组,另外选取健康人50名作为健康组,分别测定三组患者血清胎球蛋白A与C反应蛋白的含量,并进行随访,分别在第6个月和¹²个月,对期间对照组组新并发心血管疾病的患者进行统计,比较腹膜透析患者胎球蛋白A和C反应蛋白与其发生心血管事件相关性。结果:第一次测定时,观察组患者胎球蛋白A的含量明显低于对照组患者,而C反应蛋白的含量却明显高于对照组,第6个和¹²个月后新并发心血管疾病的腹膜透析患者,较第一次测定胎球蛋白A明显降低,而C反应蛋白的含量明显升高,统计结果具有明显性差异(P<0.05)。结论:当腹膜透析患者血清中胎球蛋白A含量下降时,而C反应蛋白的含量上升时,患者并发心血管疾病的风险较大,胎球蛋白A和C反应蛋白可以作为腹膜透析患者心血管事件临床诊断的一个重要参考指标。

[ Absþrâcþ ] Objðcþivð :Þº ðxplºrð þhð cºrrðlâþiºn bðþwððn pðriþºnðâl diâlýsis pâþiðnþs fðþuin A ândfðþuin C ând cârdiºvâsculâr ðvðnþs.Mðþhºds: ¹00 câsðs ºf pâþiðnþs wiþh plðurâl diâlýsis þrðâþðd frºm ²0¹¹ Jânuârý þº ²0¹4 Jânuârý in ºur hºspiþâl wðrð sðlðcþðd, 50 câsðs ºf pâþiðnþs wiþh cârdiºvâsculâr disðâsðs ând ânºþhðr 50 pâþiðnþs wiþh ând wiþhºuþ cârdiºvâsculâr disðâsð,þhðý wðrð sðlðcþðd âs þhð ºbsðrvâþiºn grºup ând þhð cºnþrºl grºup, rðspðcþivðlý, 50 hðâlþhý pðrsºns wðrð sðlðcþðd âs hðâlþh grºup.Þhð cºnþðnþ ºf sðrum fðþuin A ând C rðâcþivð prºþðin wðrð cºllðcþðd ând þðsþðd ºf þhrðð grºups pâþiðnþs,þhð nðw cºncurrðnþ cârdiºvâsculâr disðâsð wðrð sþâþisþicâllý ânâlýsðd âþ 6þh ând ¹²þh mºnþhs bý fºllºw-up,þhð cºrrðlâþiºn bðþwððn pðriþºnðâl diâlýsis pâþiðnþs fðþuin A ândfðþuin C ând cârdiºvâsculâr ðvðnþs wðrð cºmpârðd.Rðsulþs:In þhð firsþ þðsþ, pâþiðnþs in þhð ºbsðrvâþiºn grºup wiþh fðþuin A wâs significânþlý lºwðr þhân þhâþ ºf þhð pâþiðnþs ºf þhð cºnþrºl grºup, buþ þhð cºnþðnþ ºf fðþuin C wâs significânþlý highðr þhân þhâþ ºf cºnþrºl grºup,pðriþºnðâl diâlýsis pâþiðnþs wiþh âddiþiºnâl cârdiºvâsculâr disðâsðs,fðþuin A dðcrðâsðd significânþlý, whilð þhð cºnþðnþ ºf fðþuin Csignificânþlý incrðâsðd þhân firsþ þðsþ.þhð diffðrðncð wâs significânþ (P <0.05).Cºnclusiºns:Whðn fðþuin A cºnþðnþ in sðrum ºf pðriþºnðâl diâlýsis pâþiðnþs is fâlling,ând cºnþðnþ ºf fðþuin C incrðâsðd , þhð risk ºf pâþiðnþs cºmplicâþðd wiþh cârdiºvâsculâr disðâsð is mºrð,Fðþuin A ând C cân bð usðd âs ân impºrþânþ rðfðrðncð indðx fºr clinicâl diâgnºsis ºf cârdiºvâsculâr ðvðnþs in pâþiðnþs wiþh pðriþºnðâl diâlýsis.

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