卒中心脏病合并冠状动脉阻塞患者氧化应激因子和血脂的评价

Karim Nematpour Beyraq, M. Djalali, M. Mahmoudi
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摘要

导言:在大多数工业化国家,心血管疾病造成的死亡人数最多,在发展中国家也在增加。在心血管疾病中,冠心病(CHD)是最致命的心血管疾病。高浓度的活性氧会引起膜脂过氧化,损害血管和心脏细胞的调节。目的:本研究是一项分析性病例对照研究,旨在评估冠心病患者抗氧化酶(超氧化物歧化酶[SOD]、过氧化氢酶)、丙二醛(MDA)含量、总抗氧化能力(TAC)、甘油三酯(TG)、LDL-c的活性。患者与方法:将74例30岁以上经冠状动脉造影后转诊到医院行血管造影的患者(男性)分为病例组和对照组。随后,从受试者身上抽取了10cc的血液。分别用量热法和酶抑制法测定红细胞过氧化氢酶和超氧化物歧化酶活性。采用Pars Azmoon试剂盒检测总HDL-c、LDL-c、TG和总胆固醇水平。结果:在P值方面,TG、HDL胆固醇、SOD、MDA、TG/HDL-c、TC/HDL-c等变量均有效。治疗组与对照组MDA均值比较,两组间MDA均值差异有统计学意义。对照组(94.03±31.06 mg/dL)和治疗组(80.78±160.01 mg/dL) TG值也有显著差异。结论:冠心病患者抗氧化水平低于正常人。此外,在冠心病患者中证实血脂参数紊乱;而这些患者的TG升高。
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Evaluation of oxidative stress factors and lipid profile in patients suffered from stroke heart disease with coronary artery obstruction
Introduction: Cardiovascular disease accounts for the highest number of deaths in most industrialized countries and it is increasing in developing countries. Among cardiovascular diseases, coronary heart disease (CHD) is the deadliest cardiovascular disease. High concentrations of reactive oxygen species can cause membrane lipid peroxidation, and impaired regulation of vascular and cardiac cells. Objectives: The present study is an analytical case-control study that tried to estimate the activity of antioxidant enzymes (superoxide dismutase [SOD], catalase), malondialdehyde (MDA) content, total antioxidant capacity (TAC), triglyceride (TG), LDL-c, in CHD patients. Patients and Methods: Seventy-four subjects (male) older than 30 years old who referred to the hospital for angiography after coronary angiography were divided into case and control groups. Subsequently, 10 cc of blood was taken from the subjects. Catalase and SOD activities in erythrocytes were measured by calorimetry and enzymatic inhibition, respectively. Total HDL-c, LDL-c, TG and total cholesterol levels were measured by Pars Azmoon kit. Results: Regarding the P values, the variables of TG, HDL cholesterol, SOD, MDA, TG/HDL-c and TC/HDL-c are effective. Comparison the mean of MDA in two groups of treatment and control showed a significant difference between mean of MDA between two groups. Significant differences were also observed for TG values for the two groups of control (94.03 ± 31.06 mg/dL) and treatment (80.78±160.01 mg/dL). Conclusion: Antioxidant status of patients with CAD was lower than normal subjects. In addition, disturbance in lipid profile parameters confirmed in CAD patients; while TG increased in those patients.
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