2型糖尿病患者血清胱抑素C与冠状动脉狭窄的关系Relationship between serum cystatin C and coronary stenosis in type 2 diabetes mellitus patients
王曼曼;舒冏;穆攀伟;陈宣蓉;陈燕铭;曾龙驿;
摘要(Abstract):
目的:探讨2型糖尿病患者血清胱抑素C(CysC)与冠状动脉狭窄的关系。方法:2型糖尿病患者103例,根据320-DVCT中冠状动脉狭窄情况将患者分为两组:A组(n=35):无冠状动脉狭窄患者;B组(n=68):有冠状动脉狭窄患者(一支或多支冠脉狭窄),对比两组间血清CysC的差异。结果:患者血清CysC在A、B组分别是(0.73±0.39)mg/L,(1.25±0.62)mg/L,两组患者血清CysC水平有明显差异(P<0.05)。多元回归分析2型糖尿病合并冠状动脉狭窄的危险因素,血清CysC可作为一个独立的危险因素进入回归方程(P<0.05)。结论:2型糖尿病患者血清CysC与冠状动脉狭窄之间存在关联,可能可预测冠状动脉狭窄的风险。
关键词(KeyWords): 2型糖尿病;血清胱抑素C;320-DVCT
基金项目(Foundation): 广东省自然科学基金项目S2013010011533
作者(Author): 王曼曼;舒冏;穆攀伟;陈宣蓉;陈燕铭;曾龙驿;
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参考文献(References):
- [1]Xu X,Zou J,Ding X,et al.Clinical value of serum cystatin C by ELISA for estimation of glomerular filtration rate[J].Clin Lab Anal,2004,18(2):61-64.
- [2]Steffes M W.Estimating GFR from cystatin C in serum:seeking to enhance its clinical application[J].Am J Kidney Dis,2006,48(5):842-843.
- [3]Randers E,Erlanden E J.Serum cystatin C as an endogenous marker of the renal function:a review[J].Clin Chem Labmed,1999,37(4):389-395.
- [4]徐志强.胱抑素C与冠心病相关性的研究进展[J].心血管病学进展,2008,29(1):64-67.
- [5]陈治奎,葛长江,胡申江.胱抑素C与心血管疾病的关系[J].生理科学进展,2003,34(3):269-271.
- [6]Shlipak M G,Sarnak M J,Katz R,et al.Cystatin C and the risk of death and cardiovascular events among elderly persons[J].N Engl J Med,2005,352:2049-2060.
- [7]Rybicki F J,Otero H J,Steigner M L,et a1.Initial evaluation of coronary images from 320-detector row computed tomography[J].Int J Cardiovasc Imaging,2008,24(5):535-546.
- [8]覃杰,刘凌云,盂晓春,等.320排动态容积CT冠状动脉成像的临床应用[J].中国医学影像技术,2009,25(9):1598-1600.