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凝集素样氧化低密度脂蛋白受体-1与男性阻塞性睡眠呼吸暂停低通气综合征的相关性

Relationship of Soluble Lectin-Like Oxidized LDL Receptor 1 with Severe Obstructive Sleep Apnea-Hypopnea Syndrome in Men

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【作者】 石宏伟蒲鹏邓伟周恒江洪罗志宏唐其柱

【Author】 SHI Hongwei;PU Peng;DENG Wei;ZHOU Heng;JIANG Hong;LUO Zhihong;TANG Qizhu;Dept.of Cardiology,Renmin Hospital of Wuhan University;Dept.of Otolaryngology,Head and Neck Surgery,Renmin Hospital of Wuhan University;

【机构】 武汉大学人民医院心血管内科武汉大学人民医院耳鼻喉头颈外科

【摘要】 目的:研究凝集素样氧化低密度脂蛋白受体-1(sLOX-1)在男性阻塞性睡眠呼吸暂停低通气综合征患者(OSAHS)中的水平。方法:选取2011年9月-2012年6月于武汉大学人民医院鼾症中心住院的102例男性患者行多导睡眠监测,进一步分为轻度组(n=24),中度组(n=14)和重度组(n=64)。ELISA法监测患者血清sLOX-1水平,并在1月后随访。结果:对正常对照组、轻度和中度OSAHS患者相比,重度OSAHS患者血清sLOX1水平升高,血清sLOX1水平与夜间平均血压、总甘油三酯(TG)、呼吸暂停低通气指数(AHI)、最低血氧饱和度(LSaO2)水平呈正相关。1个月后随访,重度OSAHS患者血清sLOX1水平明显降低(P<0.001)。结论:血清sLOX-1与重度OSAHS密切相关,男性阻塞性睡眠呼吸暂停低通气综合征患者sLOX-1水平升高。

【Abstract】 Objective:To study the changes of soluble lectin-like oxidized LDL receptor 1(sLOX-1)in male patients with obstructive sleep apnea-hypopnea syndrome(OSAHS).Methods:A total of 102male patients with OSAHS and 16controls were enrolled in the study,from September 2011 to June 2012.Patients with OSAHS were further divided into mild(n=24),moderate(n=14) and severe OSAHS groups(n=64).Serum sLOX-1concentration was measured by ELISA kit before treatment and one month after treatment.Results:The sLOX1levels in the severe OSAHS group were significantly higher than in mild OSAHS,moderate OSAHS and control groups.Serum levels of sLOX-1were correlated positively with mean blood pressure(night),serum triglyceride(TG),AHI,and LSaO2.Circulating sLOX-1was independently associated with AHI by a multiple regression analysis.sLOX-1levels were significantly reduced(P<0.001)after a month of treatment.Conclusion:High levels of sLOX-1were closely linked with the presence of severe OSAHS.Elevated sLOX-1were found in male patients with OSAHS.

【基金】 国家创新性大学生科研项目(编号:101048637)
  • 【文献出处】 武汉大学学报(医学版) ,Medical Journal of Wuhan University , 编辑部邮箱 ,2014年03期
  • 【分类号】R766
  • 【被引频次】2
  • 【下载频次】68
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