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慢性心力衰竭患者血清可溶性肿瘤坏死因子受体Ⅰ肿瘤坏死因子α含量及临床意义(1)
http://www.100md.com 2011年4月25日 杨建峰 魏经汉
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     【摘要】 目的 旨在探讨慢性心力衰竭患者血清可溶性肿瘤坏死因子受体I(sTNFRⅠ)、肿瘤坏死因子α(TNFα)含量及其临床意义。方法 慢性心衰组包括62例慢性心力衰竭患者,按心功能分级(NYHA)又分为3个组:Ⅱ级组20例,Ⅲ级组20例,Ⅳ级组22例,另设15例健康人作对照。血清sTNFRⅠ、TNFα含量测定采用酶联免疫吸附法(ELISA)。结果 结果显示慢性心力衰竭患者血清sTNFRⅠ、TNFα含量显著高于健康对照组,慢性心力衰竭患者心功能分级组间血清、sTNFRⅠ、TNFα含量也有显著差异,心功能Ⅳ级组显著高于心功能Ⅱ级组、Ⅲ级组。结论 慢性心力衰竭患者血清sTNFRⅠ、TNFα含量的变化参与慢性心力衰竭致病机制,它们之间可能还有相互作用及影响,共同参与慢性心力衰竭的发病机制。

    【关键词】

    心力衰竭;细胞因子;可溶性肿瘤坏死因子受体Ⅰ;肿瘤坏死因子α

    

    Serum concentrations of soluble tumor necrosis factor receptorI、tTumor necrosis factorαand the clinical significance in the patients with chronic heart failure

    YANG Jianfeng, WEI Jinghan.Department of Cardiovascular Medicine, The Fifth Affliated Hospital of Zhengzhou University,Zhengzhou 450052,China

    

    【Abstract】 Objective To investigate concentrations of serum soluble tumor necrosis factor receptorI(sTNFRⅠ),serum tumor necrosis factor (TNFα)andclinical significance in the patients with chronic heart failure (CHF).Methods CHF group included 62 patients, sixtytwo patients were devided into three groups according to cardiac function (NYHA classification), class Ⅱ group included 20 patients, class Ⅲ group included 20 patients, class Ⅳ group included 22 patients. Healthy control group included 15 healthy volunteers. Serum concentrations of sTNFRⅠ and TNFα were measured by enzymeliked immuneabsorbent assay (ELISA).Results The results were shown that serum concentrations of sTNFRⅠ and TNFα in the patients with CHF were significantly higher than these in healthy control group, serum levels of sTNFRⅠ and TNFα in three groups according to cardiac function were also significant difference. Conclusion Changes of serum concentrations of sTNFRⅠ and TNFαin the patients with CHF would play a role in the pathogenic mechanism of chronic heart failure, they maybe interact and influence each other in the pathogenic mechanism of chronic heart failure.

    【Key words】

    Heart failure;Cytokine;sTNFRⅠ; TNFα ......

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