Objective To observe the correlation between serum fatty specific serine protease inhibitor (vaspin) and inflammato-ry factors in the patients with coronary heart disease (CHD) .Methods 114 cases of CHD(CHD group) in our hospital from April 2010 to April 2015 were selected and divided into the stable angina group ,unstable angina group and acute myocardial infarction group according to the disease type ,and divided into the 1-vessel lesion group ,2-vessel lesion group and 3 or more vessel lesion group according to the coronary lesion vessels .At the same time 45 healthy persons were selected as the healthy control group .The enzyme-linked immunosorbent assay(ELISA) was adopted to detect the levels of vaspin ,tumor necrosis factor-α(TNF-α) ,interleu-kin (IL)-6 ,IL-10 and C reactive protein(CRP) .Results The vaspin level in the CHD group was significantly lower than that in the healthy control group ,while the levels of TNF-α,IL-6 ,IL-10 and CRP were significantly higher than those in the healthy control group ,the difference between the two groups was statistically significant (P<0 .05).The levels of vaspin in the stable angina pec-toris group ,unstable angina group and acute myocardial infarction group decreased in turn ,and the levels of vaspin in the 1-vessel lesion group ,2-vessel lesion group and 3 or more vessel lesion group decreased in turn ;the levels of CRP、IL-6、IL-10、TNF-αin the stable angina pectoris group ,unstable angina group and acute myocardial infarction group increased in turn ,and the levels of CRP、IL-6、IL-10、TNF-αin the 1-vessel lesion group ,2-vessel lesion group and 3 or more vessel lesion group increased in turn ;the differ-ence between the groups was statistically significant (P<0 .05) .The CHD severity was positively correlated with the levels of CRP , IL-6 ,IL-10 and TNF-α(P=0 .007 ,0 .003 ,0 .004 ,0 .005) ,and negatively correlated with the vaspin level (P=0 .002) .Conclusion The vaspin level is closely related to the inflammatory factors in CHD patients ,and is related with the vascular lesions severity of CHD .%目的 观察冠心病(CHD)患者血清脂肪特异性丝氨酸蛋白酶抑制剂(vaspin)与炎症因子的相关性.方法 选取2010年4月至2015年4月该院CHD患者114例作为CHD组,按疾病类型又分为稳定性心绞痛组、不稳定性心绞痛组、急性心肌梗死组,按冠状动脉病变支数又分为1支病变组、2支病变组、3支及以上病变组.同时选取健康人群45例作为健康对照组.采用酶联免疫吸附法检测vaspin、肿瘤坏死因子(TNF-α)、白细胞介素(IL)-6、IL-10和C反应蛋白(CRP)水平变化.结果 CHD组vaspin水平明显低于健康对照组,而TNF-α、IL-6、IL-10和CRP水平明显高于健康对照组,差异有统计学意义(P<0.05).稳定性心绞痛组、不稳定性心绞痛组和急性心肌梗死组中vaspin水平依次降低,CRP、IL-6、IL-10和TNF-α水平依次升高;1支病变组、2支病变组和3支及以上病变组中vaspin水平依次降低,CRP、IL-6、IL-10和TNF-α水平依次升高;各组间比较差异有统计学意义(P<0.05).CHD病变严重程度与CRP、IL-6、IL-10和TNF-α水平呈正相关(P分别为0.007、0.003、0.004、0.005),与vaspin水平呈负相关(P=0.002).结论 vaspin水平与CHD患者的炎症因子紧密相关,与CHD血管病变严重程度有关.
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