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泸州医学院附属医院肝胆外科,泸州,646000
纸质出版日期:2012,
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冯春红, 贺 凯, 张孟瑜, 等. 肝硬化门静脉高压症患者血浆中ET-1、CGRP与腹水及肝功能的相关性[J]. 重庆医科大学学报, 2012,37(11):994-996.
FENG Chunhong, HE Kai, ZHANG Mengyu, et al. Correlations of plasma levels of ET-1 and CGRP with ascites and liver function in cirrhosis patients with portal hypertension[J]. Journal of Chongqing Medical University, 2012,37(11):994-996.
冯春红, 贺 凯, 张孟瑜, 等. 肝硬化门静脉高压症患者血浆中ET-1、CGRP与腹水及肝功能的相关性[J]. 重庆医科大学学报, 2012,37(11):994-996. DOI:
FENG Chunhong, HE Kai, ZHANG Mengyu, et al. Correlations of plasma levels of ET-1 and CGRP with ascites and liver function in cirrhosis patients with portal hypertension[J]. Journal of Chongqing Medical University, 2012,37(11):994-996. DOI:
目的:探讨肝硬化门静脉高压症患者门静脉血及外周静脉血中内皮素-1(Endothelin,ET-1)及降钙素基因相关肽(Calcitonin gene-related pepfide,CGRP)与腹水及肝功能的相关性。方法:检测78例肝硬化门静脉高压症患者门静脉血及外周静脉血中ET-1及CGPR的浓度。78例肝硬化门静脉高压症患者中,有腹水42例,无腹水36例;child-pugh肝功能分级,A级35例,B级26例,C级17例。对照组20例。结果:门静脉高压症患者无腹水组门静脉血和外周静脉血中ET-1浓度与对照组比较,差异有统计学意义(P<0.05),有腹水组门静脉血和外周静脉血中ET-1浓度与无腹水组比较,差异有统计学意义(P<0.05)。在有腹水组,门静脉血ET-1浓度与外周静脉血ET-1浓度比较,差异有统计学意义(P<0.05)。有腹水组门静脉血及外周静脉血中CGRP浓度与无腹水组比较,差异有统计学意义(P<0.05)。B级肝功能组门静脉血和外周静脉血中ET-1、CGRP浓度与A级肝功能组比较,差异有统计学意义(P<0.05),C级肝功能组门静脉血中ET-1浓度与外周静脉血中ET-1浓度比较,差异有统计学意义(P<0.05)。C级肝功能门静脉血和外周静脉血中CGRP浓度与B级肝功能组比较,差异有统计学意义(P<0.05)。肝功能状态与门静脉血及外周静脉血中ET-1浓度均呈显著负相关(rs=-0.783,P<0.05;rs=-0.695,P<0.05);与门静脉血及外周静脉血中CGRP浓度也呈显著负相关(rs=-0.642,P<0.01;rs=-0.671,P<0.05)。结论:肝硬化门静脉高压症患者,门静脉血及外周静脉血中ET-1和CGRP升高与腹水形成有关,肝功能状态与门静脉血及外周静脉血中ET-1和CGRP具有相关性,血浆中ET-1、CGRP浓度可以作为反映患者肝功能状态的指标。
Objective:To analyze the correlations of plasma levels of endothelin-1(ET-1)and calcitonin gene-related pepfide(CGRP) with ascites and liver function in cirrhosis patients with portal hypertension. Methods:Seventy eight cirrhosis patients with portal hy-pertension were enrolled in this study and the plasma levels of ET-1 and CGRP in the peripheral venous blood and portal venous blood of all patients were detected. Among the 78 patients,42 with ascites and 36 without ascites. Based on child-pugh classification,35 cases were in class A,26 cases were in class B and 17 cases were in class C. Results:There were significant differences in ve-nous blood ET-1 levels between portal hypertension patients without ascites and the control patients(P<0.05). Significant differences in venous blood ET-1 levels between patients with ascites and patients without ascites were observed(P<0.05). In patients with ascites,there were significant differences in ET-1 levels between portal vein blood and peripheral venous blood(P<0.05). Significant differ-ences in venous blood levels of CGRP between patients with ascites and patients without ascites were observed(P<0.05). There were statistical differences in levels of ET-1 and CGRP in the peripheral venous blood and portal venous blood between class A patients and class B patients(P<0.05). There were statistical differences between levels of EF-1 in portal venous blood and levels of ET-1 in peripheral venous blood in class C patients(P<0.05). There were statistical differences between levels of CGRP in peripheral ve-nous blood and levels of CGRP in portal venous blood in class C patients(P<0.05). Furthermore,the liver function was negatively cor-related with level of ET-1 and CGRP in the peripheral venous blood and portal venous blood(rs=-0.783,P<0.05;rs=-0.695,P<0.05)(rs=-0.642,P<0.05,rs=-0.671,P<0.05). Conclusions:The high level of venous blood ET-1 and CGRP is correlated with as-cites formation in cirrhosis patients with portal hypertension. Moreover,the liver function is also correlated with venous blood levels of ET-1 and CGRP,which indicates that venous blood levels of ET-1 and CGRP might be potent hypertensive indica-tors of liver function in cirrhosis patients.
内皮素降钙素基因相关肽腹水肝功能
endothelincalcitonin gene related peptideascitesliver function
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