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高血压者颈动脉硬化与血浆内皮素、脂蛋白(a)的关系 被引量:9

The level of endothelins and lipoprotein(a)[Lp(a)] in elderly hypertensive patients with carotid artery atherosclerotsis
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摘要 目的探讨老年高血压患者颈动脉病变与血浆内皮素-1(ET-1)、脂蛋白(a)[Lp(a)]的关系。方法对120例老年高血压患者进行颈动脉超声检查。根据病变的不同分为颈动脉无斑块(NCP)组、硬斑块(HCP)组、软斑块(SCP)组,并测定上述患者ET-1,血清Lp(a)的含量。结果颈动脉有斑块(CP)组与NCP组比较,ET-1及Lp(a)含量明显增高(P<0.01),SCP组与HCP组比较Lp(a)含量明显增高(P<0.01)。结论老年高血压患者颈动脉斑块的形成与血管内皮损伤、Lp(a)代谢异常有明显关系。 Objective To explore the relationship between endothelins and lipoprotein (a) [ Lp (a) ] in elderly hypertensive patients with carotid artery atherosclerosis. Methods 120 elderly hypertensive patients were divided into four groups based on the result of carotid artery uhrasonography : non-plaque group (43 cases) , hard plaque group (31 cases) and soft plaque group (46 cases). Endothelin-1 (ET-1) and Lp(a) were determined in these patients. Results Compared with non-plaque groups, plaque group had higher levels of ET-1 and Lp(a). The difference was significant( P 〈 0. 01 ) . Compared with hard plaque group, soft plaque group had higher level of Lp (a) ( P 〈 0. 01 ). Conclusions There is a significant association between the formation of carotid atherosclerotic lesions and hypertension injury and disorders of lipids metabolism.
出处 《实用老年医学》 CAS 2006年第2期121-122,共2页 Practical Geriatrics
关键词 高血压 动脉硬化 颈动脉 内皮缩血管肽类 脂蛋白(A) 老年人 Hypertension Arteriosclerosis Carotid arteries Endothelins Lipoprotein (a) Aged
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