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本文测定了无症状心肌缺血(SMI)组(15例)、心绞痛组(11例)和对照组(7例)运动试验前后血浆八肽胆囊收缩素(CCK-8)、P物质含量,探讨这两种神经调节肽与SMI和心绞痛发生的关系。结果显示:①运动前3组血浆CCK-8含量分别为4.55±2.18、5.11±1.59和5.39±2.84pmol/L,3组之间比较无明显差异;运动后3组血浆CCK-8含量分别为4.91±1.08、8.56±1.57和5.73±2.46pmol/L,心绞痛组明显高于SMI和对照组(P<0.01)。②运动前3组血浆P物质含量分别为2.13±0.28、2.10±0.21和2.13±0.16nmol/L,3组间比较无明显差异;运动后3组分别为2.25±0.21、2.46±0.20和2.18±0.12nmol/L,心绞痛组明显高于SMI组和对照组(P<0.02)。结果表明:高血浆CCK-8、P物质含量可能参与心绞痛的发生,心肌缺血时无症状可能与血浆CCK-8、P物质含量未升高有关。
The content of plasma octotokinin (CCK-8) and substance P before and after exercise test in asymptomatic myocardial ischemia group (15 cases), angina pectoris group (11 cases) and control group (7 cases) The relationship between these two neuromodulating peptides and the occurrence of SMI and angina pectoris. The results showed that: (1) The content of CCK-8 in the three groups before exercise was 4.55 ± 2.18, 5.11 ± 1.59 and 5.39 ± 2.84 pmol / L, respectively. There was no significant difference among the three groups. The levels of plasma CCK-8 in the three groups after exercise were 4.91 ± 1.08, 8.56 ± 1.57 and 5.73 ± 2.46 pmol / L, respectively, and those in angina group were significantly higher than those in SMI group and control group .01). ② The content of substance P in the three groups before exercise was 2.13 ± 0.28, 2.10 ± 0.21 and 2.13 ± 0.16 nmol / L, respectively. There was no significant difference between the three groups after exercise 2.25 ± 0.21,2.46 ± 0.20 and 2.18 ± 0.12nmol / L, respectively. The angina group was significantly higher than the SMI group and the control group (P <0.02). The results showed that the content of CCK-8 and P in high plasma may be involved in angina pectoris. Asymptomatic myocardial ischemia may not be related to the increase of plasma CCK-8 and P contents.