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强直性脊柱炎患者的血小板活化功能研究     被引量:13

The Significance of Platelet Activation in Ankylosing Spondylitis

文献类型:期刊文献

中文题名:强直性脊柱炎患者的血小板活化功能研究

英文题名:The Significance of Platelet Activation in Ankylosing Spondylitis

作者:王锋[1];汪年松[1];晏春根[2];简桂花[1];薛勤[1];高许萍[1]

机构:[1]上海交通大学附属第六人民医院肾脏风湿科;[2]绍兴文理学院医学院附属医院内科

年份:2007

卷号:11

期号:7

起止页码:911

中文期刊名:中国实验诊断学

外文期刊名:Chinese Journal of Laboratory Diagnosis

收录:CSTPCD

基金:上海市自然科学基金项目(05ZR14086);卫生局青年基金项目(04Y0167);院级基金项目(0239)

语种:中文

中文关键词:强直性脊柱炎;血小板活化

外文关键词:ankylosing spondylifis; platelet activation

中文摘要:目的探讨强直性脊柱炎患者的血小板活化功能。方法选取2005年11月至2006年10月的35例强直性脊柱炎患者与15例正常人对照,空腹采血2 ml至2%乙二胺四乙酸抗凝试管,行单克隆抗体直接标记,30 min内进行流式细胞仪检测外周血血小板CD62P和CD63的表达,同时免疫比浊法测定C-反应蛋白(CRP)与魏氏法测定血沉(ESR),血细胞计数仪检测血小板数量。结果强直性脊柱炎组患者的外周血CD62P表达(13.60±7.64)%明显高于正常对照组(2.78±1.04)%(P<0.01);强直性脊柱炎组患者的外周血CD63表达(6.92±4.16)%明显高于正常对照组(4.13±1.85)%(P<0.05);CRP(20.18±23.17)mg/L与ESR(36.86±31.23)mm/h明显高于正常对照组的(3.21±2.18)mg/L与(12.25±5.05)mm/h(均P<0.01);强直性脊柱炎患者组血小板计数(259.54±102.59×109/L)高于正常对照组(197.00±55.70×109/L)(P<0.05)。结论强直性脊柱炎患者的血小板活化功能明显高于正常人。

外文摘要:Objective To explore the significance of platelet activation in patients with ankylosing spondylitis (AS). Methods Thity five AS patients and fifteen normal controls were selected from Novemeber 2005 to October 2006. The levels of CD62P and CD63 were detected by flow eytometry. At the same time the erythrocyte sedimentation rate (ESR) ,platlet count (PIE) and C-reactive protein (CRP) were determined in both groups.Results The level of CD62P in AS patients (13.60% ± 7.64%) was signifi- cantly higher than that in control group (2.78% ±1.04% ) ( P 〈 0.01 ). The level of CD63 in AS patients (6.92% ± 4.16% ) was significantly higher than that in control group (4.13% ±1.85% ) ( P 〈 0.05). The level of CRP (20.18 ± 23.17mg/L), PIE (259.54 ± 102.59 × 10^9/L) and ESR(36.86 ± 31.23 mm/h) in AS patients were higher than that in normal controls (3.21 ± 2.18 mg/L) (P〈0.01), (197.00±55.70× 10^9/L) (P〈0.01), (12.25±5.05 mm/h) (P〈0.05).Conclusion Platelet activa- tion may be a sign of AS exacerbation.

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