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血透患者血浆TAFI与CRP 相关性及临床意义(2)
http://www.100md.com 2011年7月15日 董芍芍 章圣泽 叶玲丽 杨群伟 朱源
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     CRP是已被实验及临床证实的敏感炎症指标,并且是炎症反应启动因子[7],而且现在有足够的证据证明CRP直接参与内皮损伤和动脉粥样硬化过程[8],被认为与终末期肾功能衰竭及血透患者的心血管发病率有关[9]。血透组CRP明显升高,且与血浆TAFI水平相关,提示维持性血透患者存在内皮损伤,促使内皮细胞分泌TAFI。

    综上所述,维持性血透患者血浆存在炎症、内皮功能损伤及纤溶抑制,可能共同参与了心血管系统病变。

    [参考文献]

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    [2]SchroederV,Chatterjee T,Mehta H,et al. Thrombin activatable fibrinolysis inhibitor(TAFI) levels in patients with coronary artery disease investigated by angiography[J]. Thromb Haemost,2002,88(6):1020-1025.

    [3]Silveira A,Schatteman K,Goossens F,et al. Plasma procarboxypep tidase U in men with symptomatic coronary artery disease[J]. Thromb Haemost,2000,84(3): 364-368.

    [4] Tripepi G,Mallamaci F,Zoccali C. Inflammation markers,adhesion molecules, and all-cause and cardiovascular mortality in patients with ESRD:searching for the best risk marker by multivariate modeling[J]. J Am Soc Nephrol,2005,16:83-88.

    [5] 张铭朋,刘向群,刘利妍. TAFI与动脉粥样硬化硬化性心脑血管疾病关系的研究进展[J].中国老年学杂志,2006,5(26):721-723.

    [6] Yano Y,Kitgawa N,Gabazza EC,et al. Increased plasma thrombin-activatable fibrinolysis inhibitor levels in normotensive type 2 diabetic patients with microalbuminuria[J]. J Clin Endocrinol Metab,2002,88:736-741.

    [7] Yeh ETH,Anderson HV,Pasceri V,et al. C-reactive protein linking inflammation to cardiovascular complications[J]. Circulation,2001,104:974-975.

    [8] Koenig W,Khuseyinova N. Biomarkers of atherosclerotic plaque instability and rupture[J]. Arterioscler Thromb Vasc Biol,2007,27:15-26.

    [9] Arici M,Walls J. End-stage renal disease,atherosclerosis,and cardiovascular mortality:is C-reactive protein the missing link?[J]. Kidney Int,2001,59: 407-414.

    (收稿日期:2011-03-29)

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