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血浆一氧化氮在酒精性心肌病疗效评估中的作用

The Role of Plasma Nitric Oxide Level in Response Evaluation of the Patients with Alcoholic Cardiomyopathy
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摘要 目的:探讨血浆一氧化氮(NO)水平在酒精性心肌病(ACM)患者疗效评估中的作用。方法:纳入32例ACM患者,给予戒酒和心力衰竭的标准治疗,治疗前和治疗3个月后行超声心动图检查评估左室舒张末期内径(LVEDD)和左室射血分数(LVEF),检测血浆NO水平。比较治疗前后NO的水平,并将NO水平的变化幅度与治疗后LVEDD和LVEF的变化幅度进行相关性分析。结果:治疗3个月后血浆NO的水平显著高于治疗前的水平(22.86±6.61μmol/L vs.26.23±6.52μmol/L,P<0.01)。治疗3个月后血浆NO水平的增加幅度与LVEDD的降低幅度(r=0.78,95%CI:0.60~0.89,P<0.01)和LVEF的升高幅度(r=0.75,95%CI:0.55~0.87,P<0.01)均显著相关。结论:血浆NO水平的变化可用于评估ACM患者的疗效。 Objective: To investigate the effect of plasma nitric oxide (NO) in patients with alcoholic cardiomyopathy (ACM). Methods: 32 patients with ACM were chosen. Left ventricular end diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF) and plasma NO levels were detected. Results: After three-month intervention, the plasma NO level was significantly higher than that at baseline (22.86±6.61μmol/L vs. 26.23± 6.52μmol/L, P〈0.01). And the increasing of the plasma NO was significantly correlated with both the decreasing of LVEDD (r=0.78,95%CI: 0.60 -0.89, P〈0.01) and the increasing of LVEF (r=0.75,95%CI: 0.55 -0.87, P〈0.01). Conclusion: The change of plasma NO might be used in the evaluation of ACM.
出处 《现代生物医学进展》 CAS 2011年第16期3114-3116,共3页 Progress in Modern Biomedicine
基金 成都军区医学科研"十一五"课题(MB09023)
关键词 酒精性心肌病 一氧化氮 疗效 Alcoholic cardiomyopathy Nitric oxide Therapeutic effect
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