可溶性Fas检测在冠心病诊疗中的临床价值(1)
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[摘要] 目的：探讨冠心病患者血清可溶性Fas (sFas)水平变化的临床意义。方法：应用酶联免疫吸附法(ELISA)对入选的90例冠心病患者(急性心肌梗死患者28例，不稳定型心绞痛患者35例，稳定型心绞痛患者27例)的外周血sFas水平进行检测，并与30例正常对照者血清sFas的浓度进行比较。结果：急性心肌梗死组和不稳定型心绞痛组血清sFas水平明显高于稳定型心绞痛组和正常对照组(P<0.05)，随访期各组心血管事件发生率与各组sFas水平的梯度差异一致。结论：sFas的升高在冠心病的发生发展中起重要作用，是反映斑块不稳定的指标之一，其水平变化对了解病情，观察预后有重要的临床价值。
[关键词] 冠状动脉粥样硬化性心脏病；血清可溶性Fas；临床价值；诊疗
[中图分类号] R541.4 [文献标识码]A[文章编号]1674-4721(2011)03(b)-037-02
Clinical value of detection of serum soluble fas level in coronary heart disease
LI Jinliang1,3, YANG Zhaoying2, WU Haian1, KONG Jian3
1.Department of Cardiology, Heilongjiang Province Hospital, Harbin 150036, China; 2.Department of Gerontal Cardiology, Heilongjiang Province Hospital, Harbin 150036, China; 3.Department of Cadre Ward, the First Hospital of Jilin University, Changchun 130021, China
[Abstract] Objective: To investigate the clinical significance of the serum level of soluble Fas (sFas) in coronary heart disease (CHD). Methods: Enzyme-linked immunosorbent assay (ELISA) was used to measure sFas in 90 patients with coronary heart disease (28 with acute myocardial infarvction, 35 with unstable angina pectoris and 27 with stable angina pectoris) and 30 matched healthy controls. Results: sFas level was significantly higher in patients with acute myocardial infarction and unstable angina pectoris than that of stable angina pectoris and controls. Incidence of high risk of cardiovascular event during follow-up period was higher in patients with high sFas level than that of those with lower sFas level. Conclusion: The levels of sFas increase in coronary heart disease, which may be related to the pathogenesis of CHD, can be used as a potential marker of plaque instability, and the changes of sFas could reflect the disease status as well as progress of disease in patients with coronary heart disease.
[Key words] Coronary heart disease; Soluble Fas (sFas); Clinical value; Treatment
冠状动脉粥样硬化性心脏病(coronary heart disease，CHD)已成为现代社会常见病、多发病。新近观点认为冠心病是有免疫系统参与的慢性炎症性疾病[1]，白细胞分化抗原95(cluster of differentiation 95 ......
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