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脑梗塞患者血浆内皮素与肾素-血管紧张素系统及降钙素基因相关肽的动态观察

Serial Observation of Plasma Endothelin, RAS and Calcitonin Gene-related Peptide with Cerebral Infarction

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【作者】 周武; 于步润;

【Author】 Zhou Wu; Yu Burun(Department of Neurology, Tongji Hospital, Tongji Medical University, Wuhan 430030)

【机构】 同济医科大学附属同济医院神经内科!武汉; 430030;

【摘要】 采用放射免疫法动态观察40例脑梗塞(CI)患者血浆内皮素(ET)、血管紧张素Ⅱ(AⅡ)、醛固酮(ALD)及降钙素基因相关肽(CGRP)的变化。结果发现,在CI整个病程中,血浆ET、AⅡ、ALD均高于正常对照组(P<0.01或<0.05),而CGRP低于正常对照组(P<0.01)。CI病程3d及10~14d,血浆ET、AⅡ、CGRP、ALD均高于病程25~28d及脑动脉硬化组(P<0.01或<0.05),脑动脉硬化组与病程25~28d者之间无显著性差异(P>0.05)。血浆ET、AⅡ、ALD及CGRP水平与病程、病情程度及是否伴有高血压、糖尿病有关。

【Abstract】 The airn of this study was to investigate the relation of cerebral infarction (CⅠ) and its complications with plasma endothelins (P-ET), angiotensin Ⅱ (p-A Ⅱ), aldosterone (P-ALD) and calcitonin generelated peptide (p-CGRP). The experimental patients were divided into 3 groups: cerebral infarction group,atherosclerosis group and normal controls. P-ET, P-A Ⅱ, P-ALD and P-CGRP levels fo CⅠ patients were determined on 3rd day, 10~14th days and 25~ 28th days after onset, also for atherosclerosis patients and normal controls. The results showed that the P-ET. P-A Ⅱ and P-ALD levels of CⅠ patients in total process were higher than those of the normal controls, but the P-CGRP levels were lower. The P-ET and P-A Ⅱ levels of CⅠ patients with hypertension were higher than those without hypertension, but the P-CGRP levels were lower. The P-ET and P-A Ⅱ levels of CⅠ patients with diabetes were higher than those without diabetes. The P-ET, P-A Ⅱ and P-CGRP levels on 3rd day after onset of CⅠ patients in serious state of the illness were higher than those in light and moderate states. This study suggests that ① cerebral infarction is correlated with P-ET, P-A Ⅱ, P-ALD and P-CGRP: ② hypertension is correlated with P-ET, P-A Ⅱ and P-CGRP: ③ diabetes is correlated with ET and A Ⅱ: ④ in patients on 3rd day after onset, the P-ET, P-A Ⅱ and P-CGRP levels can roughly reflect the state of the illness.

  • 【文献出处】 同济医科大学学报 ,ACTA UNIVERSITATIS MEDICTNAE TANGJI , 编辑部邮箱 ,1997年03期
  • 【分类号】R743.33
  • 【被引频次】7
  • 【下载频次】33
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