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首页> 外文期刊>Journal of Hainan Medical University >Correlation between serum Hcy content and coronary atherosclerosis severity in patients with H-type hypertension and coronary heart disease
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Correlation between serum Hcy content and coronary atherosclerosis severity in patients with H-type hypertension and coronary heart disease

机译:H型高血压合并冠心病患者血清Hcy含量与冠状动脉粥样硬化程度的相关性

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Objective: To analyze the correlation between serum Hcy content and coronary atherosclerosisseverity in patients with H-type hypertension and coronary heart disease. Methods: 48patients with H-type hypertension and coronary heart disease were selected as observationgroup, and 57 patients with normal hypertension and coronary heart disease were selected ascontrol group. Echocardiography was used to determine coronary lesion parameters, enzymelinkedimmunosorbent assay (ELISA) was used to determine serum levels of homocysteine(Hcy) and coronary heart disease-related indexes, and the correlation between Hcy levels andcoronary heart disease was further analyzed. Results: Serum Hcy level of observation groupwas higher than that of control group (P0.05), absolute GLPSS value and E/A value underechocardiography were less than those of control group while E-DT and E/e value were higherthan those of control group (P0.05); serum adiponectin (APN) level was lower than that ofcontrol group while P-selectin, asymmetric dimethylarginine (ADMA), oxidized high-densitylipoprotein (OX-HDL), MMP-2, MMP-9, lipoprotein-associated phospholipase A2 (Lp-PLA2)and Resistin levels were higher than those of control group (P0.05); Hcy was negativelycorrelated with absolute GLPSS value, E/A value and APN level, and was positively correlatedwith E-DT value, E/e value as well as P-selectin, ADMA, OX-HDL, MMP-2, MMP-9, Lp-PLA2 and Resistin levels (P0.05). Conclusions: There is direct correlation between serumHcy levels and the severity of coronary heart disease in patients with H-type hypertension andcoronary heart disease, it can be a reliable way to early screen for coronary heart disease andevaluate the illness, and it is also a new target of coronary heart disease intervention.
机译:目的:分析H型高血压合并冠心病患者血清Hcy含量与冠状动脉粥样硬化程度的相关性。方法:选择H型高血压合并冠心病患者48例作为观察组,正常高血压合并冠心病患者57例作为对照组。超声心动图测定冠状动脉病变参数,酶联免疫吸附测定(ELISA)测定血清同型半胱氨酸(Hcy)水平和冠心病相关指标,并进一步分析Hcy水平与冠心病之间的相关性。结果:观察组血清Hcy水平高于对照组(P <0.05),超声心动图下的绝对GLPSS值和E / A值均低于对照组,而E-DT和E / e值均高于对照组。组(P <0.05);血清脂联素(APN)水平低于对照组,而P选择素,不对称二甲基精氨酸(ADMA),氧化型高密度脂蛋白(OX-HDL),MMP-2,MMP-9,脂蛋白相关的磷脂酶A2(Lp-PLA2 )和抵抗素水平高于对照组(P <0.05); Hcy与绝对GLPSS值,E / A值和APN水平呈负相关,与E-DT值,E / e值以及P-选择素,ADMA,OX-HDL,MMP-2,MMP-9正相关。 Lp-PLA2和抵抗素水平(P <0.05)。结论:H型高血压和冠心病患者血清Hcy水平与冠心病严重程度直接相关,可以作为早期筛查冠心病和评估病情的可靠方法,也是一种新的方法。冠心病干预的目标。

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