【摘要】：目的:探討腹主動(dòng)脈瘤(AAA)患者瘤腔內(nèi)血栓(ILT)厚度及外周血中同型半胱氨酸(Hcy)與C反應(yīng)蛋白(CRP)濃度的臨床意義及相互關(guān)系。方法:選取2014年1月—2015年12月年間收治的AAA患者60例,以ELISA法測(cè)定外周血中Hcy濃度和CRP濃度,影像學(xué)方法測(cè)定ILT厚度。分析ILT厚度與臨床因素的關(guān)系,以及ILT厚度、Hcy、CRP之間的相互關(guān)系。結(jié)果:厚ILT(厚度≥7.8mm)患者的高血壓史比例、Hcy和CRP濃度明顯高于薄ILT(厚度7.8mm)患者(均P0.05);相關(guān)分析顯示,Hcy濃度與ILT厚度(r=0.942)、ILT厚度/AAA最大直徑比值(r=0.844)、AAA最大直徑(r=0.505)均呈明顯正相關(guān)(均P0.05),而CRP濃度與其他因素間均無相關(guān)(均P0.05)。結(jié)論:ILT厚度、外周血Hcy與CRP濃度均可能是AAA進(jìn)展的危險(xiǎn)因素,且ILT厚度與Hcy濃度之間可能存在相互促進(jìn)的關(guān)系。
[Abstract]:Objective: to investigate the clinical significance and relationship between the thickness of intraluminal thrombus (ILT) and the concentration of homocysteine (Hcy) and C-reactive protein (CRP) in peripheral blood of patients with abdominal aortic aneurysm (AAA). Methods: 60 patients with AAA were selected from January 2014 to December 2015. The concentrations of Hcy and CRP in peripheral blood were measured by Elisa and the thickness of AAA was measured by imaging method. To analyze the relationship between ILT thickness and clinical factors and the relationship between ILT thickness and Hcyn CRP. Results: the ratio of Hcy and 7.8mm in the patients with thick ILT (thickness 鈮，

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