文章摘要
血清同型半胱氨酸与头颈部动脉粥样硬化的关系研究
Association of serum homocysteine with atherosclerotic of head and neck
投稿时间:2018-01-20  
DOI:10.3969/j.issn.1000-0399.2018.09.013
中文关键词: 血清同型半胱氨酸  头颈部动脉粥样硬化性病变  CT血管造影术
英文关键词: Serum homocysteine  Atherosclerosis of head and neck  CT angiography
基金项目:
作者单位
陈良 230011 安徽省合肥市第二人民医院高压氧科 
戴元昶 230011 安徽省合肥市第二人民医院高压氧科 
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中文摘要:
      目的 探讨血清同型半胱氨酸(HCY)与头颈部动脉粥样硬化关系。方法 选择2016年1月至2016年12月合肥市第二人民医院行头颈部CT血管造影术(CTA)明确有动脉粥样硬化病变患者119例,根据头颈部动脉CTA结果,将轻度及轻度以上狭窄的106例患者纳为试验组,将无动脉狭窄的13例患者纳为对照组,比较两组患者的血清HCY水平。再根据头颈部动脉狭窄程度,分为轻度狭窄组(28例)、中度狭窄组(29例)与重度狭窄组(49例),比较3组患者血清HCY水平。结果 试验组患者血清HCY水平为(17.76±15.14)μmol/L,对照组为(10.95±2.73)μmol/L,两组差异有统计学意义(P<0.05)。轻度狭窄组血清HCY水平(12.77±8.05)μmmol/L,中度狭窄组为(16.01±8.39)μmmol/L,重度狭窄组为(22.20±20.29)μmmol/L,重度狭窄组与中度狭窄组、轻度狭窄组的血清HCY水平比较,差异有统计学意义(P<0.05)。结论 HCY在头颈动脉粥样硬化中起着一定作用,HCY对头颈部动脉粥样硬化的作用机制及长期影响有待深入研究。
英文摘要:
      Objective To investigate the correlation between serum homocysteine(HCY) and atherosclerosis of head and neck. Methods A total of 119 cases of atherosclerosis confirmed by head and neck CT angiography from Jan to Dec 2016 in the Second People's Hospital of Hefei were selectedand divided into twogroups, and 106 patients with stenosis of the head and neck artery were considered as experimental group, another 13 patients with no artery stenosis as control group, then the HCY levels between two groupswere compared. According to the degree of stenosis of head and neck artery, there were 28 cases in mild stenosis, 29 in moderate stenosis group and 49 in severe stenosis group. The level of HCY was compared between the three groups. Results The serum HCY level in experimental group was(17.76±15.14) μmol/L and incontrol group was(10.95±2.73) μmol/L. The HCY value of the experimental group was significantly different from the control group(P<0.05).HCYlevel in mild,moderate and severestenosis groupwas(12.77±8.05)μmmol/L,(16.01±8.39)μmmol/L,and(22.20±20.29)μmmol/L, respectively. The difference between severe and moderate stenosis group was statistically significant(P<0.05), and thatbetween severe and mild stenosis group was also statistically significant(P<0.05). Conclusion HCY plays a role in atherosclerosis of the head and neck. The mechanism and long-term effects of HCY on head and neck atherosclerosis need to be further studied.
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