Wu Xiang,Li Yingsha,Zhao Zhigang,He Hongbo,Yang Liqin,Ni Yinxing,Zhong Jian,Yan Zhencheng,Zhu Zhiming.Effects of hemoperfusion on lipid profiles and blood pressure in patients with metabolic syndrome[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(16):1709-1712.
Wu Xiang,Li Yingsha,Zhao Zhigang,He Hongbo,Yang Liqin,Ni Yinxing,Zhong Jian,Yan Zhencheng,Zhu Zhiming.Effects of hemoperfusion on lipid profiles and blood pressure in patients with metabolic syndrome[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(16):1709-1712.DOI:
Objective To study the effects of hemoperfusion (HP) on lipid profiles and blood pressure in patients with metabolic syndrome and investigate the underlying mechanisms . Methods Blood routine test
blood biochemical
indexes
urine routine test
renal function
liver function and 4 contagious indexes before blood transfusion were examined before HP. A total of 26 patients with metabolic syndrome were qualified for HP. All patients were followed-up
with blood pressure monitored. The levels of blood lipids
angiotensin Ⅰ (AⅠ)
angiotensin Ⅱ (AⅡ)
aldosterone (Ald)
hypersensitive C-reactive protein (hs-CRP)
monocyte chemotactic protein 1 (MCP-1) and resistin were measured at 4
8 and 12 weeks after HP. SPSS19 statistical software
including the single sample
t
test
Pearson correlation analysis and other methods
was used to compare the results. Results The total cholesterol (TC) and triglyceride (TG) levels were significantly reduced after HP within 8 weeks as compared to the baseline values (
P
0.05). The systolic pressure (SBP) and serum resistin levels were decreased significantly within 12 weeks as compared to those before the treatment (SBP: 143±15
vs
137±17 mmHg
P
0.05; resistin: 2.06±2.02
vs
0.65±0.42 ng/mL
P
0.05). The bivariate correlation analysis showed that the SBP was positively correlated with TC and resistin levels (
r
=0.40
P
=0.00;
r
=0.29
P
=0.003). Conclusion HP can effectively reduce blood lipid levels and lower blood pressure of patients with metabolic syndrome
which may be related to removal of serum resistin and blood lipids by HP.