检验医学 ›› 2012, Vol. 27 ›› Issue (4): 284-286.

• 生物化学检验论著 • 上一篇    下一篇

原发性高血压患者血清Salusin-α、UⅡ与颈动脉IMT的相关性分析

蒋永林   

  1. 宜兴市第二人民医院检验科,江苏 无锡 214221
  • 收稿日期:2012-01-10 出版日期:2012-04-30 发布日期:2012-04-09
  • 作者简介:蒋永林,男,1966年生,副主任技师,主要从事临床生物化学检验工作。

Associativity of Salusin-α and UⅡ Levels with Carotid Intima-Media Thickness in Patients with Essential Hypertension

  1. Department of Clinical Laboratory,the Second People′s Hospital of Yixing,Jiangsu Wuxi 214221,China
  • Received:2012-01-10 Online:2012-04-30 Published:2012-04-09

摘要: 目的  探讨原发性高血压(EH)患者血清Salusin-α和尾加压素Ⅱ(UⅡ)水平与颈动脉内膜中层厚度(IMT)的相关性。方法  选取EH患者100例和同期健康体检者100名,分别采用酶联免疫吸附试验(ELISA)和放射免疫法检测血清Salusin-α和UⅡ水平,高分辨超声测定IMT作为大血管动脉粥样硬化(AS)程度的指标,并分析Salusin-α、UⅡ与IMT之间的关系。结果  与正常对照组相比,EH组的IMT明显增厚(P<0.01),血清UⅡ水平明显升高,而Salusin-α水平明显降低(P<0.01);粥样斑块组、IMT增厚组与对照组相关性分析,血清Salusin-α水平与IMT呈负相关(r=-0.527,P<0.01),而UⅡ水平与IMT呈正相关(r=0.612,P<0.05)。结论  血清Salusin-α和UⅡ水平的变化与EH患者IMT增厚密切相关,提示Salusin-α和UⅡ可能影响高血压患者的动脉弹性并参与了EH患者AS病理过程,可能成为预测EH并发AS严重程度的新临床指标。

关键词: Salusin-α, 尾加压素Ⅱ, 颈动脉内膜中层厚度, 原发性高血压

Abstract: Objective  To investigate the correlation between serum Salusin-α, urotensinⅡ(UⅡ) and carotid intima-media thickness(IMT) in patients with essential hypertension (EH).  Methods  A total of 100 patients with EH and 100 healthy controls in the same time were enrolled. Serum Salusin-α and UⅡ were detected by enzyme-linked immunosorbent assay (ELISA) and radioimmunoassay respectively. The IMT was detected by high-resolution ultrasound which was as an index of large vessel atherosclerosis (AS). The correlation of serum Salusin-α and UⅡ levels with IMT was analyzed. Results  Serum UⅡ level and IMT were significantly higher in EH group than those in control group (P<0.01),while Salusin-α level was significantly lower in EH group than those in control group(P<0.01). IMT was negatively correlated with serum Salusin-α(r=-0.527,P<0.01), and positively correlated with serum UⅡ(r=0.612,P<0.05). Conclusions  The change of serum Salusin-α and UⅡ has a correlation with carotid IMT, which suggests that Salusin-α and UⅡmay affect the resilience of arteries and participate the pathological process of AS. Serum Salusin-α and UⅡ may be new markers correlated with the severity of AS for clinical application.

Key words: Salusin-α, UrotensinⅡ, Carotid intima-media thickness, Essential hypertension