[1]章 豫,艾艳红.蛋白质代谢变化、血脂与类风湿关节炎患者动脉粥样硬化的相关性研究[J].医学信息,2018,31(02):84-85,88.[doi:10.3969/j.issn.1006-1959.2018.02.028]
 ZHANG Yu,AI Yan-hong.Correlation between Changes of Protein Metabolism,Serum Lipids and Atherosclerosis in Patients with Rheumatoid Arthritis[J].Journal of Medical Information,2018,31(02):84-85,88.[doi:10.3969/j.issn.1006-1959.2018.02.028]
点击复制

蛋白质代谢变化、血脂与类风湿关节炎患者动脉粥样硬化的相关性研究()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年02期
页码:
84-85,88
栏目:
临床研究
出版日期:
2018-01-15

文章信息/Info

Title:
Correlation between Changes of Protein Metabolism,Serum Lipids and Atherosclerosis in Patients with Rheumatoid Arthritis
文章编号:
1006-1959(2018)02-0084-03
作者:
章 豫艾艳红
湖北中医药大学附属医院襄阳市中医医院检验科,湖北 襄阳 441000
Author(s):
ZHANG YuAI Yan-hong
Clinical Laboratory,Xiangyang Hospital of Traditional Chinese Medicine,Hubei University of Traditional Chinese Medicine,Xiangyang 441000,Hubei,China
关键词:
类风湿关节炎蛋白质代谢血脂变化
Keywords:
Key words:Rheumatoid arthritisProtein metabolismChanges in blood lipids
分类号:
R593.22
DOI:
10.3969/j.issn.1006-1959.2018.02.028
文献标志码:
A
摘要:
目的 检测类风湿关节炎患者蛋白质代谢和血脂变化水平,分析其与患者动脉粥样硬化的相关性。方法 选取类风湿性关节炎患者60例设为观察组,选取体检人群60例设为对照组。检测两组血常规、总蛋白、白蛋白、GLO、A/G、高密度脂蛋白、低密度脂蛋白、总甘油三酯、总胆固醇、 C3、C4、 ESR和CD4+CD25+CD127_调节性T细胞水平。结果 RA患者TP、A/G、HDL、Treg水平下降,TC水平升高,差异有统计学意义(P<0.05)。TP、ALB与RBC、HB呈正相关(P<0.01或P<0.05);A/G与IgG、C3、CRP、ESR呈负相关(P<0.01或P<0.05);LDL与CD4+T呈正相关(P<0.01或P<0.05)。结论 与健康人群相比,RA患者存在蛋白质代谢和血脂异常,主要表现在TP、A/G、HDL、Treg水平显著下降,其变化与贫血程度生理功能等密切相关。
Abstract:
Abstract:Objective To detect the level of protein metabolism and serum lipids in patients with rheumatoid arthritis and analyze its correlation with atherosclerosis in patients with rheumatoid arthritis.Methods 60 patients with rheumatoid arthritis were selected as the observation group and 60 healthy subjects were selected as the control group.Blood samples,total protein,albumin,GLO,A/G,high density lipoprotein,low density lipoprotein,total triglyceride,total cholesterol,C3,C4, ESR and CD4+CD25+CD127_T cell level were detected in both groups.Results The levels of TP,A/G,HDL and Treg in RA patients decreased and the levels of TC increased,the difference was statistically significant(P<0.05).TP,ALB and RBC,HB were positively correlated(P<0.01 or P<0.05);There was a negative correlation between A/G and IgG,C3,CRP and ESR(P<0.01 or P<0.05).There was a positive correlation between LDL and CD4+T(P<0.01 or P<0.05).Conclusion Compared with healthy people,there are protein metabolism and dyslipidemia in RA patients.The main manifestations are the levels of TP,A/G,HDL and Treg,and their changes are closely related to the anemia physiological function.

参考文献/References:

[1]Gruzdeva O,Uchasova E,Dyleva Y,et al.Plasminogen activator inhibitor-1,free fatty acids,and insulin resistance in patients with myocardial infarction[J].Diabetes Metabolic Syndrome& Obesity Targets&Therapy,2013,136(6):293-301.
[2]郭紫石.2010ACR/EULAR类风湿关节炎分类标准与RA早期诊断的临床研究[J].现代诊断与治疗,2016,11(4):2706-2707.
[3]Sandoo A,Chanchlani N,Hodson J,et al.Classical cardiovascular disease risk factors associate with vascular function and morphology in rheumatoid arthritis:a six-year prospective study[J]. Arthritis Research&Therapy,2013,15(6):203-205.
[4]林艳,崔栋华,沈波.同型半胱氨酸、游离脂肪酸水平与类风湿性关节炎的相关性研究[J].医学研究杂志,2014,9(2):108-111.
[5]潘丽丽,孙晓麟,王天.红细胞沉降率与C反应蛋白升高对类风湿性关节炎合并2型糖尿病患者血糖血脂代谢的影响[J].新乡医学院学报,2014,1(2):32-35.
[6]Chung WS,Lin CL,Peng CL,et al.Rheumatoid arthritia and risk of acute myocardial infarction-a nationwide retrospective cohort study[J].IntiCardiol,2013,168(5):4750-4754.
[7]龚珂,孙文涛,吕伯昌,等.外周血CD4~+CD25~+调节性T淋巴细胞对增殖性糖尿病视网膜病的临床指导价值[J].中国医药导报,2015,33(1):17-21.
[8]张津华,马丽丽,李江坤,等.阿托伐他汀对不同程度颈动脉粥样硬化患者外周血T淋巴细胞亚群的影响[J].中华老年心血管病杂志,2014,11(3):1137-1140.
[9]林静,酉鹏华,程功,等.CD4+CD25+调节性T细胞对ox-LDL诱导的小鼠巨噬细胞焦亡的影响[J].中西医结合心脑血管病杂志,2015,8(2):976-979.
[10]王志会,郭惠芳,马岩,等 HMGB1在类风湿关节炎早发动脉粥样硬化患者血清中的表达及慢作用药物的预防作用[J].广东医学,2013,34(13):2026-2029.

相似文献/References:

[1]黄 娟,叶福银.类风湿关节炎合并腹痛1例[J].医学信息,2018,31(08):188.[doi:10.3969/j.issn.1006-1959.2018.08.070]
[2]杜 敏,李 娜.抗CCP抗体与RF联合检测在类风湿关节炎早期诊断中的意义[J].医学信息,2019,32(06):177.[doi:10.3969/j.issn.1006-1959.2019.06.058]
 DU Min,LI Na.Significance of Combined Detection of Anti-CCP Antibody and RF in Early Diagnosis of Rheumatoid Arthritis[J].Journal of Medical Information,2019,32(02):177.[doi:10.3969/j.issn.1006-1959.2019.06.058]
[3]万 昭,向 阳.中药延缓类风湿关节炎骨破坏的研究进展[J].医学信息,2019,32(07):36.[doi:10.3969/j.issn.1006-1959.2019.07.013]
 WAN Zhao,XIANG Yang.Research Progress on Traditional Chinese Medicine for Delaying Bone Destruction of Rheumatoid Arthritis[J].Journal of Medical Information,2019,32(02):36.[doi:10.3969/j.issn.1006-1959.2019.07.013]
[4]杨海红,星 霞,李雪莹,等.类风湿关节炎患者焦虑及抑郁情绪与 疾病活动度的相关性[J].医学信息,2019,32(18):110.[doi:10.3969/j.issn.1006-1959.2019.18.036]
 YANG Hai-hong,XING Xia,LI Xue-ying,et al.Correlation between Anxiety and Depression and Disease Activity in Patients with Rheumatoid Arthritis[J].Journal of Medical Information,2019,32(02):110.[doi:10.3969/j.issn.1006-1959.2019.18.036]
[5]王 鹏,郝敬春,厉志洪,等.超微血管成像技术评估类风湿关节炎手指关节 亚临床炎及分布特点[J].医学信息,2019,32(14):98.[doi:10.3969/j.issn.1006-1959.2019.14.030]
 WANG Peng,HAO Jing-chun,LI Zhi-hong,et al.Evaluation of Subclinical Inflammation and Distribution of Finger Joints in Rheumatoid Arthritis by Ultra-Microvascular Imaging[J].Journal of Medical Information,2019,32(02):98.[doi:10.3969/j.issn.1006-1959.2019.14.030]
[6]丁宇康.化瘀通痹方联合甲氨蝶呤治疗难治性类风湿关节炎的效果[J].医学信息,2019,32(24):171.[doi:10.3969/j.issn.1006-1959.2019.24.063]
 DING Yu-kang.Observation of Huayu Tongbi Recipe Combined with Methotrexate in the Treatment of Refractory Rheumatoid Arthritis[J].Journal of Medical Information,2019,32(02):171.[doi:10.3969/j.issn.1006-1959.2019.24.063]
[7]陈 婧,高晓瑜.类风湿关节炎多关节病变的超声诊断[J].医学信息,2020,33(16):175.[doi:10.3969/j.issn.1006-1959.2020.16.058]
 CHEN Jing,GAO Xiao-Yu.Ultrasonic Diagnosis of Rheumatoid Arthritis Polyarthropathy[J].Journal of Medical Information,2020,33(02):175.[doi:10.3969/j.issn.1006-1959.2020.16.058]
[8]王宝娟,辛昊洋,李 月.基于网络药理学探讨木防己汤治疗类风湿关节炎的作用机制[J].医学信息,2022,35(23):25.[doi:10.3969/j.issn.1006-1959.2022.23.005]
 WANG Bao-juan,XIN Hao-yang,LI Yue.Study on Mechanism of Mufangji Decoction in the Treatment of Rheumatoid Arthritis Based on Network Pharmacology[J].Journal of Medical Information,2022,35(02):25.[doi:10.3969/j.issn.1006-1959.2022.23.005]
[9]罗家昂,杨 静,邓代华,等.长期慢病管理对RA患者强化自我管理并保持健康状态的影响[J].医学信息,2021,34(07):59.[doi:10.3969/j.issn.1006-1959.2021.07.017]
 LUO Jia-ang,YANG Jing,DENG Dai-hua,et al.The Effect of Long-term Chronic Disease Management on Strengthening Self-management and Maintaining Health in RA Patients[J].Journal of Medical Information,2021,34(02):59.[doi:10.3969/j.issn.1006-1959.2021.07.017]
[10]郭锦晨,刘 健,王 茎,等.类风湿关节炎外周血单核细胞circRNA-miRNA-mRNA网络构建及关键基因预测[J].医学信息,2023,36(04):7.[doi:10.3969/j.issn.1006-1959.2023.04.002]
 GUO Jin-chen,LIU Jian,WANG Jing,et al.Construction of circrRNA-miRNA-mRNA Network of Peripheral Blood Monocytes in Rheumatoid Arthritis and Prediction of Key Genes[J].Journal of Medical Information,2023,36(02):7.[doi:10.3969/j.issn.1006-1959.2023.04.002]

更新日期/Last Update: 2018-02-15