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切割球囊血管成形术对不稳定型心绞痛患者血清IL6和CRP的影响
http://www.100md.com 《第四军医大学学报》 2003年第6期
血管成形术,,血管成形术,经皮冠状动脉,;切割球囊,;C反应蛋白;,白细胞介素6,0引言,1对象和方法,2结果,3讨论,【参考
     (第四军医大学:西京医院心血管内科, 基础部免疫学教研室,陕西 西安 710033)

    Effects of cutting balloon angioplasty on serum levels of IL6 and CRP of UAP patients

    CHENG Kang,LI WeiJie,JIA GuoLiang,WANG HaiChang, LUAN RongHua, LI Qi, GUO WenYi, LU AnLin, LI ChengXiang, WANG XiaoYan

    Department of Cardiovasology, Xijing Hospital, Department of Immunology, Faculty of Preclinical Medicine, Fourth Military Medical University, Xi’an 710033, China

    【Abstract】 AIM: To compare the effects of CBA on serum IL6 and CRP levels of unstable angina pectoris (UAP) patient with BA. METHODS: A total of 65 UAP patients were randomly divided into two groups, respectively, accepted CBA or BA , and stent were plant in all patients after balloon angioplasty. Coronary sinus blood was collected before angioplasty, immediate after as well as 2 h and 6 h after angioplasty to measure the content of IL6. Veins blood was collected before angioplasty, 6 h as well as 24 h and 48 h after angioplasty to measure the serum content of CRP. The serum levels of IL6 and CRP were all measured by ELESCA. RESULTS: There was no significant difference of the target lesions or the clinic characteristics between the two groups. The maximum balloon filling pressure and implant pressure of stent in group CBA was significantly lower than that in group BA (P<0.01) . The serum level of IL6 was significantly higher in group BA than that of CBA immediate after angioplasty, also keep raising at 2 h and 6 h (P<0.01) . The serum level of CRP was significantly higher in groupBA than that of group CBA at 6 h as well as 24 h and 48 h (P<0.01). CONCLUSION: The results suggest that CBA can significantly reduce the production of IL6 and CRP than that of BA. This may indicated that CBA and also plus stent implantation produce less vessel wall injury and, consequently, less inflammation stimulated, which may account for the lower rate of restenosis and cardiovascular events of CBA. ......

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