發(fā)布時間：2018-03-09 03:02

  本文選題：支氣管哮喘　切入點：MMP-9　出處：《青海大學》2013年碩士論文　論文類型：學位論文

【摘要】：目的：本研究通過采用酶聯(lián)免疫吸附（Enzyme-Linked ImmunosorbnentAssay，ELISA）實驗方法測定治療前后血清中MMP-9、TIMP-1水平的變化，觀察白三烯受體拮抗劑（孟魯司特鈉）對輕度持續(xù)性支氣管哮喘患者血清中MMP-9、TIMP-1水平的影響。 方法：選取輕度持續(xù)性支氣管哮喘患者61例，隨機分成治療組29例和對照組32例，，治療組使用常規(guī)治療+孟魯司特鈉10mg每日一次口服,療程為7-14天，對照組使用常規(guī)治療,療程為7-14天，采用ELISA法測定兩組治療前后血清MMP-9、TIMP-1水平，并對其變化進行分析比較。 結(jié)果：①治療7-14天后，治療組血清MMP-9明顯低于對照組(p0.05)，分別為22.75±6.51ng/ml、28.93±7.59ng/ml；治療組治療前患者血清MMP-9水平為29.07±7.83ng/ml，明顯高于治療組治療后(p0.05)。②治療7-14天后，治療組血清TIMP-1明顯低于對照組(p0.05)，分別為10.74±4.14ng/ml、13.75±2.59ng/ml；治療組治療前患者血清TIMP-1水平為13.76±3.53ng/ml，明顯高于治療組治療后(P0.05)。 結(jié)論：孟魯司特鈉可明顯降低輕度持續(xù)性支氣管哮喘患者血清中MMP-9和TIMP-1的水平。MMP-9和TIMP-1的水平可作為輕度持續(xù)性支氣管哮喘患者療效判斷的指標。孟魯司特鈉可能會通過下調(diào)支氣管哮喘患者血清MMP-9和TIMP-1的水平，減少氣道細胞外基質(zhì)沉積。
[Abstract]:Objective: to determine the level of MMP-9 and TIMP-1 in serum before and after treatment by Enzyme-Linked Immunosorbent Assayia Elisa. To observe the effect of leukotriene receptor antagonist (montelukast sodium) on the level of MMP-9 and TIMP-1 in patients with mild persistent bronchial asthma. Methods: Sixty-one patients with mild persistent bronchial asthma were randomly divided into treatment group (n = 29) and control group (n = 32). The treatment group was treated with 10 mg montelukast sodium once a day for 7-14 days, and the control group was treated with routine therapy. The serum levels of MMP-9 and TIMP-1 were measured by ELISA before and after treatment for 7-14 days. Results after 7 to 14 days of treatment, the serum MMP-9 of the treatment group was significantly lower than that of the control group (22.75 鹵6.51 ng / ml, 28.93 鹵7.59 ng / ml, respectively), and the serum MMP-9 level of the treatment group was 29.07 鹵7.83 ng / ml, which was significantly higher than that of the control group (P 0.05.2, 7-14 days after treatment). The serum TIMP-1 in the treatment group was significantly lower than that in the control group (10.74 鹵4.14 ng / ml, 13.75 鹵2.59 ng / ml, respectively), and the serum TIMP-1 level in the treatment group was 13.76 鹵3.53 ng / ml, which was significantly higher than that in the treatment group after treatment (P 0.05). Conclusion: montelukast sodium can significantly reduce the levels of MMP-9 and TIMP-1 in patients with mild persistent bronchial asthma. MMP-9 and TIMP-1 levels can be used as an index to judge the curative effect of patients with mild persistent bronchial asthma. By down-regulating the levels of serum MMP-9 and TIMP-1 in patients with bronchial asthma, Reduce airway extracellular matrix deposition.
【學位授予單位】：青海大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R562.25;R96

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