2型糖尿病合并冠心病患者糖化血红蛋白与血浆凝血因子Ⅶ的相关性
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Relationship between Serum Glycosylated Hemoglobin A1c and Plasma Factor Ⅶ in Type 2 Diabetic Patients with Coronary Heart Disease
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    目的研究2型糖尿病合并冠心病患者糖化血红蛋白与凝血因子Ⅶ的相关性。方法对40例2型糖尿病患者(简称糖尿病组)和73例2型糖尿病合并冠心病患者(简称合并病组)进行糖化血红蛋白水平及血浆凝血因子Ⅶ活性的检测。结果合并病组凝血因子Ⅶ活性水平明显高于糖尿病组(p<0.05),其中合并急性心肌梗死及不稳定型心绞痛患者凝血因子Ⅶ活性明显升高(p<0.01),陈旧性心肌梗死及稳定型心绞痛凝血因子Ⅶ活性亦明显升高(p<0.05),全部受检测者凝血因子Ⅶ活性与糖化血红蛋白呈正相关(γ=0.421,p<0.001)。结论血糖可能通过影响凝血功能,促进血栓形成,在2型糖尿病心血管并发症的发生发展中起着重要的作用。

    Abstract:

    Aim To investigate the correlation between glycosylated hemoglobin A1c(GHbA1c) and Ⅶ factor activity in type 2 diabetic patients with different types of coronary heart disease(CHD).Methods Concentrations of GHbA1c and plasma activities of Ⅶ were measured in 73 patients with difference types of coronary heart disease and 40 T2 diabetic patients.Results In the patients of actual myocardial infarction and unstable angina pectoris Ⅶ activity was significantly higher than those of diabetic patients(p<0.05).In the old myocardial infarction and stable angina pectoris Ⅶ activity was higher than those of normal controls(p<0.01).There was a positive correlation between the concentration of GHbA1c and activity of Ⅶ in all the patients and controls.Conclusion Concentration of blood glucose positively correlated with Ⅶ factor.Serum blood glucose may play an important role in the pathogenesis of T2 diabetes mellitus by inducing coagulative and fibrinolytic dysfunction.

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黄秋霞,杜巍,刘玉华.2型糖尿病合并冠心病患者糖化血红蛋白与血浆凝血因子Ⅶ的相关性[J].中国动脉硬化杂志,2007,15(6):461~462.

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  • 收稿日期:2007-04-09
  • 最后修改日期:2007-05-09
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