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目的和方法:用花生四烯酸(AA)诱导正常人(n=12)富血小板血浆(PRP)血小板活化。结果:AA组、消炎痛+AA组及对照组血浆11-去氢-血栓烷B2(DH-TXB2)浓度分别为:(51±25、5.0±2.8及54±32)ng/L,三组之间无显著差别;但AA组TXB2与P-选择素浓度均较对照组显著升高(P<001),消炎痛对两者的升高有几乎完全的抑制作用。20例急性期脑梗塞患者血浆DH-TXB2浓度(108~550ng/L)远高于对照组(10~93ng/L),无重叠,但两组之间TXB2与P-选择素浓度均有50%左右重叠。另6例患者服用900mg阿司匹林后血浆DH-TXB2下降43%(P<001),但服药前后TXB2及P选择素浓度无显著改变。结论:DH-TXB2作为TXB2的体内主要酶代谢产物,是反映体内血小板活化的一个较好的指标
PURPOSE AND METHODS: Arachidonic acid (AA) was used to induce platelet activation in normal human (n = 12) platelet-rich plasma (PRP). Results: The concentrations of 11-dehydro-thromboxane B2 (DH-TXB2) in AA group, indomethacin + AA group and control group were (51 ± 25, 5.0 ± 2.8 and 54 ± 32) ng / L, there was no significant difference among the three groups. However, the concentrations of TXB2 and P-selectin in AA group were significantly higher than those in control group (P <001) There is almost complete inhibition. The plasma levels of DH-TXB2 in 20 patients with acute cerebral infarction (108 ~ 550 ng / L) were much higher than those in the control group (10 ~ 93 ng / L) P-selectin concentrations are about 50% overlap. In the other 6 patients, the plasma DH-TXB2 decreased by 43% (P <001) after taking 900 mg of aspirin, but the TXB2 and P-selectin concentrations did not change significantly before and after taking the drug. Conclusion: DH-TXB2, as the major enzyme metabolite of TXB2, is a good indicator of platelet activation in vivo