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糖尿病患者血浆内皮素变化与微血管病变的关系

RELATIONSHIP BETWEEN ELEVATED PLASMA ENDOTHELIN-1 LEVEL AND MICROANGIOPATHY IN DIABETIC PATIENTS
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摘要 本文采用放射免疫分析法测定了20例正常人及40例Ⅱ型糖尿病患者的血浆内皮素水平。结果显示,糖尿病患者的血浆内皮素水平显著高于正常人。伴有微血管病变的患者较未伴有微血管病变者,血浆内皮素水平也明显升高。患者血浆内皮素水平与血小板聚集率和尿白蛋白排泄率成正相关。表明:血小板功能异常可能是造成血管内皮细胞损伤,进而引起血浆内皮素水平升高的原因之一,并提示血浆内皮素的升高对于糖尿病微血管病变可能有重要作用。 Plasma endothelin-1(ET-1) levels were measured with radio-immunoassay in 20 normal subjects and 40 patients with type 2 diabetes mellitus. Plasma ET-1 concentrations were found to be greatly elevated in the diabetic patients compared with the normal subjects. We also found the plasma ET-1 levels were higher in diabetic patients with microangiopathy than those of patients without microangiopathy. There was significant positive correlation between ET-1 level and platelet aggregation rate and uAER. In diabetic patients,elevated ET-1 levels may play a pathophysiological role in the development of diabetic microangiopathy.
作者 蔡燕
机构地区 上海港医院
出处 《交通医学》 1999年第3期304-305,共2页 Medical Journal of Communications
关键词 糖尿病 内皮素 糖尿病性 微血管病变 病理 Diabetes mellitus Endothelin Diabetic microangiopathy
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参考文献2

  • 1K. Takahashi,M. A. Ghatei,H. -C. Lam,D. J. O’Halloran,S. R. Bloom. Elevated plasma endothelin in patients with diabetes mellitus[J] 1990,Diabetologia(5):306~310 被引量:1
  • 2M. Porta,M. Selva,P. Molinatti,G. M. Molinatti. Endothelial cell function in diabetic microangiopathy[J] 1987,Diabetologia(8):601~609 被引量:1

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