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1、原發(fā)性高血壓患者血清apelin與脂聯(lián)素的相關(guān)性研究李慶輝1﹡楊天倫1譚碧峰2周環(huán)11.中南大學(xué)湘雅醫(yī)院心內(nèi)科,湖南長沙410008;2.懷化醫(yī)學(xué)高等專科學(xué)校附屬懷化市第三人民醫(yī)院心內(nèi)科,湖南懷化418000.)【摘要】目的觀察原發(fā)性高血壓(EH)患者和健康人血清apelin-13和脂聯(lián)素(APN)水平及兩者之間的相關(guān)性,探討脂肪細(xì)胞因子apelin-13在EH中的作用及其相關(guān)影響因素。方法選取EH患者35例和健康人32例,用酶聯(lián)免疫吸附法測定兩組血清apelin-13和APN水平。結(jié)果①EH患者血清apelin-13和APN濃度顯著低于健康對照組(17.61±6.52)pg/m
2、LVS(29.58±15.19)pg/mL;(197.55±54.48)μg/LVS(248.29±35.32)μg/L,均(P<0.01);②經(jīng)多元線性回歸分析顯示,EH患者血清apelin-13與收縮壓呈顯著負(fù)相關(guān)(r=-4.616,P<0.01),與APN呈正相關(guān)(r=2.480,P<0.05)。結(jié)論EH患者血清apelin-13水平降低,并與APN呈正相關(guān),提示apelin-13可能通過影響APN水平而參與高血壓的發(fā)生發(fā)展。關(guān)鍵詞高血壓??;apelin-13;脂聯(lián)素CorrelationbetweenSerumApelin-13andAdiponectinlevelsin
3、PatientswithEssentialHypertension.LIQing-hui1YANGTian-lun1TANBi-feng2ZHOUHuan1(1DepartmentofCardiology,XiangyaHospitalofCentralSouthUniversity,Changshahunan410008,China2.DepartmentofCardiology,ThethirdPeople’sHospitalofHuaihuaCityAffiliatedtoHuaihuaMedicalCollege,Huaihuahunan418000,China.)【Ab
4、stract】ObjectiveToinvestigatetherelationshipbetweenserumapelinandadiponectinlevelsinpatientswithessentialhypertension.MethodsSerumapelinandadiponectinlevelsweredeterminedbyenzyme-linkedimmunosorbentassayin35patientswithessentialhypertensionand32healthycontrols.Results①Comparedwithcontrolgroup
5、,theserumconcentrationofapelin-13andadiponectinofpatientswithessentialhypertensionweregreatlylowered(17.61±6.52)pg/mLVS(29.58±15.19)pg/mL;(197.55±54.48)μg/LVS(248.29±35.32)μg/L,both(P<0.01).②Bytheanalysisofmultiplelinearregression,theresultshowsthattheserumconcentrationofapelin-13werenegative
6、lycorrelatedwiththesystolicbloodpressureofpatientswithessentialhypertension(r=-4.616,P<0.01),andserumapelin-13levelwere﹡李慶輝現(xiàn)工作于湖南農(nóng)業(yè)大學(xué)醫(yī)院心內(nèi)科,通訊作者:楊天倫,E-mail:tianluny@163.compositivelycorrelatedwithadiponectin(r=2.480,P<0.05).Conclusions.Serumapelin-13concentrationisdecreasedinthepatientswithess
7、entialhypertension,andpositivelycorrelateswithadiponectin.Apelin-13mightbeinvolvedinthepathogenesisbyinhibitingAPNsecretion.Keywords:essentialhypertension;apelin-13;adiponectin原發(fā)性高血壓病(essentialhypertension,EH)是最常見的心血管疾病,其發(fā)病率在全球范圍內(nèi)呈逐年增加趨勢,是嚴(yán)重威