心脑血管病患者血浆心钠素与血液粘度的测定

THE DETERMINATION OF PLASMA CARDIONATRIN AND BLOOD VISCOSITY OF THE PATIENTS WITH ANGIOCARDIOPATHY OR CEREBROVASCULAR DISEASE

  • 摘要: 测定了73例心脑血管病患者血浆心钠素(ANF)含量及血液粘度的各项指标:ANF为92.9±25.2g/l;高切比粘度为7.47±0.89;低切比粘度为9.81±1.42;血浆比粘度为1.80±0.15;均显著高于正常对照组(P<0.01).结果表明,血浆ANF和血液粘度的测定对心脑血管病患者的病情观察,有着重要的参考价值.通过相关性分析,血浆ANF含量与高切比粘度、血浆比粘度及血清胆固醇有明显的相关性(г值分别为0.254、0.320、0.261),与低切比粘度、甘油三酸脂则无显著相关性.认为血液粘度的升高加重了心脏负荷,渗透压的改变扩大了血容量,再加上低氧血症和轻度的CO_2 潴留,刺激了ANF的合成和释放.血浆ANF含量与胆固醇呈正相关,可能与ANF能抑制内源性胆固醇转变为孕烯醇酮有关.

     

    Abstract: The plasma ANF, high share rate, low share rate and plasma relative viscosity of 73 subjects with angiocardiopathy or cerebrovascular disease are determined, The result shows all present significantly higher than normal people (P<0. 01). It is valuable to measure them for observing the condition of the patients. By correlation analysis, the plasma ANF is significantly correlative with the high share rate, the plasma relative viscosity and the serum cholesterol(r=0. 254, 0. 320, 0. 261 ). The mechanism is discussed that the exacerbated load of heart by increase of blood viscosity and enlarged blood volume by change of osmotic pressure, in addition, hypoxia and slight carbon dioxide retention, can stimulate the synthesis and release of ANF. The reason for positive correlation between the plasma ANF contents and serum cholesterol is probably that ANF can inhibit the change from endogenous cholesterol to pregnenolone.

     

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