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急性冠脉综合征患者IL-18/IL-10比值的临床意义
引用本文:江华,李艳,刘文卫,李智山,刘永胜.急性冠脉综合征患者IL-18/IL-10比值的临床意义[J].襄樊职业技术学院学报,2008,7(2):20-21.
作者姓名:江华  李艳  刘文卫  李智山  刘永胜
作者单位:1. 武汉大学,人民医院,湖北,武汉,430064;襄樊市中心医院,湖北,襄樊,441021
2. 武汉大学,人民医院,湖北,武汉,430064
3. 襄樊市中心医院,湖北,襄樊,441021
基金项目:湖北省卫生厅2005-资助重点项目
摘    要:目的探讨IL-18/IL-10比值在急性冠脉综合征中的临床意义。方法选取急性冠脉综合征(Acs)患者126例,采用ELISA方法检测全部病例动脉血IL-18与IL-10表达。并随访观察有无心脏事件再发。结果ACS组再次发生心脏事件43例(34%),83侧(66%)未发生。IL-18/IL-10比值0=0.002)较IL-18(p=0.022)和IL-10(p=0.019)单独评价心脏事件再发更有价值。结论IL-18/IL-10比值可作为预测ACS发生及预后判定的指标;前炎性与抗炎性反应失衡是ACS再发的重要性因素。

关 键 词:白细胞介素18  白细胞介素10  急性冠脉综合征
文章编号:1671-914X(2008)02-020-02
收稿时间:2008-01-16
修稿时间:2008年1月16日

Clinical Significance of Interleukin-18/Interleukin-10 Ratio in Patients with Acute Coronary Syndrome
JIANG Hua,LI Yan,LIU Wen-wei,LI Zhi-shan,LIU Yong-sheng.Clinical Significance of Interleukin-18/Interleukin-10 Ratio in Patients with Acute Coronary Syndrome[J].Journal of Xiangfan Vocational and Technical College,2008,7(2):20-21.
Authors:JIANG Hua  LI Yan  LIU Wen-wei  LI Zhi-shan  LIU Yong-sheng
Institution:JIANG Hua ,LI Yan, LIU Wen-wei, LI Zhi-shan, LIU Yong-sheng (1. Renmin Hospital of WuHan University, Wuhan Hubei 430064; 2.XiangFan Central Hospital, Xiangfan Hubei 441021, China)
Abstract:Objectives To explore the clinical significance of Interleukin-18/Interleukin-10 ratio in patients with acute coronary syndrome (ACS). Methods The study groups included 126 subjects with a diagnosis of ACS, IL-18 and IL-10 levels in arteries blood were measured by enzyme-linked immunosorbent assay (ELISA).all patients were revisited and observed the recurrent coronary events. Results 43 (34%) patients had recurrent cardiac events in ACS and 83 (66%) were event-free. IL-18/IL-10 ratio (P=0.002) predicted the occurrence of adverse cardiac events more valuable than IL-18(P=0.022) and IL-10(P=0.019). Conclusion IL-18/IL-10 ratio is a pre- dictor of occurrence and prognosis determination in patients with ACS; an imbalance between pro-inflammatory and anti-inflammatory response may be an important determinant of acs outcome.
Keywords:Interleukin-18  Interleukin-10  Acute coronary syndrome
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