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老年高血压病患者肾素系统和血管活性肽的变化(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第1期
页码:
46-49
栏目:
论著
出版日期:
2001-01-25

文章信息/Info

Title:
Changes of plasma concentrations in renin system and some vasoactive peptides in aged hypertension patient
作者:
李红梅1 叶季鲜1 李敏 1田丽君2 高 延1 高 群1 李丽辉1
1.解放军第323医院心肾科、检验科,陕西西安710054;2.西安交通大学医学核技术检测中心
Author(s):
LI Hong-meiYE Ji-xianLI MinTIAN Li-jun GAO YanGAO QunLI Li-hui
Department of Cardiology,No.323 Hospital of PIA,Xi'an Shaanxi 710054,China
关键词:
高血压老年人肾素-血管紧张素一醛圆酮系统血管活性肽
Keywords:
hypertensionagedrenln—angiotensin—aldosterone system vasoactive peptide
分类号:
R544.1
DOI:
-
文献标识码:
A
摘要:
目的 探讨老年原发性高血压(EH)患者肾索(RA)-血管紧张索(AT)-醛固酮(ALD)系统(RAAS)及心房钠尿肽(ANP)、内皮素(ET)、降钙素基因相关肽(CGRP)等血管活性肽的变化.方法 放射免疫方法检测96例健康老年人和104例老年EH患者血浆肾素活性(PRA),AT1.ALD,ANP,ET,CGRP浓度.结果 ① 两组PRA,ATl,ALD浓度均随年龄增长而降低(P<0.05或P<0.01),但老年EH患者明显高于健康老年人(P0.05);老年EH患者血浆ANP,ET浓度随年龄增长而明显增高(P<0.05或P
Abstract:
AIM T0 investigate the changes of plasma concentrations of renin (PRA)-angiotensin (AT II)-aldostrone(ALD)system (RAAS)and some plasma vasoactive peptides,atrial natriuretic(ANP),endothelin (ET)and calcitonin gene-related peptide(CGRP),in aged normal and hyper-tension patients. METH0DS To determine the plasma concentrations of PRA,AT Il,ALD,ANP,ET and CGRP in 96 normal controls and 104 hypertension patients with radioim-munoassay.RESULTS The plasma concentrations of PRA,AT II and ALD were decreared with age increasing both in the normal controls and in the hypertension patients(P< 0.05 or P 0.05);the plasma concentrations of ANP and ET in hypertension patients were apparently increased with age (P< 0.05 or P< 0.01),and that of CGRP was decreased (P< 0.01);the plasma concentrations of ANP and ET in different age groups of hypertension patients were significantly higher than those of the normal control(P< 0.05 or P< 0.01)and those of CGRP were lower than those of the normal controls (P< 0.05 or P< 0.01).There was a positive correlation between AT Ⅱ and ANP,as we1l as between AT Ⅱ and ET (r=0.6O,0.79,P< 0.01) and there was a negative correlation between AT Ⅱ and CGRP (r=-0.59,P< O.O1)in hypertension patients.C0NCLUSI0N In physiolgoical state,the action of traditional RAAS on blood pressure might be decreased with age in aged peopie,and the vasoactlve pcptides(ANP,ET,CGRP)might contribute more to the cardiovascular action to keep blood pressure stable.Activity of vasoconstrictive peptides(AT Ⅱ,ET)were incresaed and activity of vasodilative peptide(CGRP)was decreased.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期:2000-02-14.
更新日期/Last Update: 2001-01-25