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脂联素和基质金属蛋白酶-9水平与冠心病稳定性的相关性分析

Correlation analysis of levels of adiponectin and matrix metalloproteinase-9 with stability of coronary heart disease.

作者信息

Li Ya

出版信息

Technol Health Care. 2015;23 Suppl 1:S95-8. doi: 10.3233/thc-150937.

DOI:10.3233/thc-150937
PMID:26410336
Abstract

OBJECTIVE

To analyze the changes of adiponection (ANP) and matrix metalloproteinase-9 (MMP-9) in patients with coronary heart diseases (CHD) of different types, to investigate the correlation between these changes and stability of coronary artery plague.

METHODS

Inpatients of our hospital were divided into 56 cases with acute myocardial infarction (AMI), 56 cases with unstable angina pectoris (UA), 54 cases with stable angina pectoris (SA), and 60 cases with CHD excluded by using coronary arteriongraphy as the control group. Changes of ANP and MMP-9 were determined, and the correlation was analyzed.

RESULTS

  1. ANP and MMP-9 levels in CHD group were higher than those of control group (P < 0.01). 2. Serum ANP and MMP-9 levels in AMI and UA groups were significantly higher than those in control group and SA group (P < 0.05). 3. MMP-9 level in AMI group was significantly higher than that in UA group (P < 0.01).

CONCLUSION

  1. Increased ANP and MMP-9 levels are the independent risk factors of CHD; 2. Increased levels of ANP and MMP-9 in patients with CHD suggest instability of atherosclerotic plaque.
摘要

目的

分析不同类型冠心病(CHD)患者脂联素(ANP)和基质金属蛋白酶-9(MMP-9)的变化,探讨这些变化与冠状动脉斑块稳定性之间的相关性。

方法

将我院住院患者分为急性心肌梗死(AMI)56例、不稳定型心绞痛(UA)56例、稳定型心绞痛(SA)54例,另选60例经冠状动脉造影排除冠心病者作为对照组。测定ANP和MMP-9的变化,并分析其相关性。

结果

1.冠心病组ANP和MMP-9水平高于对照组(P<0.01)。2.AMI组和UA组血清ANP和MMP-9水平显著高于对照组和SA组(P<0.05)。3.AMI组MMP-9水平显著高于UA组(P<0.01)。

结论

1.ANP和MMP-9水平升高是冠心病的独立危险因素;2.冠心病患者ANP和MMP-9水平升高提示动脉粥样硬化斑块不稳定。

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