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慢性阻塞性肺疾病患者血清细胞因子的变化及其临床意义
引用本文:朱斌,郝建,王伟,程曦,黄鹤,沈亚伟.慢性阻塞性肺疾病患者血清细胞因子的变化及其临床意义[J].临床肺科杂志,2008,13(12):1570-1571.
作者姓名:朱斌  郝建  王伟  程曦  黄鹤  沈亚伟
作者单位:安徽省合肥市解放军105医院,230031
摘    要:目的探讨研究COPD患者血清CK-MB、NO、IL-6、TNF-α的含量变化及临床意义。方法选A组38例患者及B组35例患者,测定其患者治疗前后的血清CK—MB、NO、IL-6、TNF-α的含量。结果A组患者血清CK—MB、NO、IL6、TNF-α的浓度明显高于B组患者P〈0.01)。治疗后,A组患血清CK-MB、NO、IM、TNF-α的浓度较治疗前明显下降(P〈0.01)。结论当COPD患者伴心力衰竭时,炎性细胞因子可显著升高,参与心肌损害,心肌收缩力减弱导致心衰作用。

关 键 词:慢性阻塞性疾病  充血性心力衰竭  肌酸激酶心肌同工酶  一氧化氮  白细胞介素-6  肿瘤坏死因子

The study on changes and clinical significance of serum of cell factors in patients with chronic obstructive pulmo-nary disease with respiratory failure
Affiliation:Zhu Bin, HaoJian, Wang Wei, et al. (Department of Pulmonale, 105th Hospital of PLA, Hefei, Anhui,230031, China)
Abstract:Objective To explore the changes and clinical significance of CK-MB, NO, IL-6 and TNF-α in A group. Methods Before and after treatment, serum CK-MB, NO, IL-6 and TNF-α concentrations were measured by 38cases of A group and 35 cases of B group. Results The concentrations of serum CK-MB, NO, IL-6 and TNF-α in A group were significantly higher than B group before treatment (P 〈 O. O1 ) ; the concentrations of serum CK-MB, NO, IL-6 and TNF-α of the patients were more reducible in A group after treatment (P 〈 0.01 ). Conclusions There are excessive release of inflammatory cytokine and cardiac muscle damage in A group.
Keywords:COPD  congestive heart failure  CK-MB  NO  IL-6  TNF-α
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