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原发性高血压合并缺血性脑卒中与非对称性二甲基精氨酸及高敏C反应蛋白的相关性 被引量:2

Correlation between asymmetric dimethylarginine and hs CRP and essential hypertension with ischemic stroke
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摘要 目的探讨原发性高血压合并缺血性脑卒中与非对称性二甲基精氨酸(ADMA)及高敏C反应蛋白(hsCRP)的关系。方法选择134例原发性高血压患者(其中65例合并缺血性脑卒中,69例无脑卒中)及73例健康人,采用高效液相色谱法及酶联免疫分析法分别测定血清ADMA,hsCRP浓度,分析两者与原发性高血压合并缺血性脑卒中的关系。结果原发性高血压合并缺血性脑卒中患者血清ADMA,hsCRP浓度显著高于无脑卒中患者,差异有显著性(P<0.05);原发性高血压患者无论有无合并缺血性脑卒中,其血清ADMA,hsCRP浓度均高于健康对照组,差异有显著性(P<0.05)。结论原发性高血压合并缺血性脑卒中与血清ADMA及hsCRP具有一定相关性,血清ADMA,hsCRP浓度升高可能提示原发性高血压患者发生缺血性脑卒中的危险性增加。 Objective To study whether the level of serum asymmetric dimethylarginine and hsCRP is associated with increased risk for essential hypertension with ischemic stroke. Methods Serum level of ADMA and hsCRP was measured in 65 patients with essential hypertension and ischemic stroke, 69 patients with essential hypertension and 73 healthy people. Results Serum ADMA and hsCRP levels were significantly higher among patients with essential hypertension and stroke (P 〈 0.05 ), Essential hypertension patients, with or without stroke had higher level of serum ADMA and hsCRP compared with the healthy people (P 〈 0.05), Conclusion The level of serum asymmetric dimethylarginine and hsCRP is associated with increased risk for essential hypertension with stroke. The hypertension patients, with higher serum ADMA and hsCRP, may have more chances to have stroke.
机构地区 广东省人民医院
出处 《广东医学》 CAS CSCD 北大核心 2008年第5期769-771,共3页 Guangdong Medical Journal
基金 广州市科技计划项目(编号:2007J1-C0221)
关键词 原发性高血压 缺血性脑卒中 非对称性二甲基精氨酸 高敏C反应蛋白 Essential hypertension Stroke Asymmetrical dimethylarginine High - sensitivity C - reactive protein
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参考文献11

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同被引文献18

  • 1吴凯,何泮,廖蔚茜.化痰安神熄风法对原发性高血压疗效及C-反应蛋白水平的影响[J].广东医学,2007,28(8):1350-1351. 被引量:3
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  • 3Akira I, Kensuke E, Takahiro, et al. Renin-Angiotensin System is Involved in the Mechanism of Increased Serum Asymmetric Dimethylarginine in Essential Hypertension [J]. Jpn Circ J,2001,65(9) :775-778.
  • 4Ana P V, Dantas S, Kathryn S, et al. Regulation of ACE2 and ANG-(1-7) in the aorta: new insights into the renin- angiotensin system in the control of vascular function [J].Am J Physiol Heart Circ Physiol, 2005, 289 (9) : H980-981.
  • 5Hayan D, Roman N R, Cynthia L, et al. Overexpression of Dimethylarginine Dimethylaminohydrolase Inhibits Asymmetric Dimethylarginine-Induced Endothelial Dysfunction in the Cerebral Circulation [ J ]. Stroke, 2008, 39 ( 1 ) : 180-184.
  • 6Tora L, Dimitri Z, lan G,et al.Asymmetric Dimethylarginine Indepen-dently Predicts Fatal and Nonfatal Myocardial Infarction and Stroke in Women:24-Year Follow-Up of the Population Study of Women in Gothenburg [J]. Arterioscler Thromb Vasc Biol, 2008,28 (5) : 961-967.
  • 7Zoltan V, Anita R, Gabor L, et al. ADMA Impairs Nitric Oxide_Mediated Arteriolar Function Due to Increased Superoxide Production by Angi- otensinII-NAD (P)H Oxidase Pathway [J]. Hypertension, 2008, 52(5): 960-966.
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  • 10程国平,吴帆.不同血脂水平的原发性高血压患者血浆高敏C-反应蛋白检测及临床分析[J].中国实用神经疾病杂志,2007,10(7):110-111. 被引量:2

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