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1、維普資訊http://www.cqvip.coml臨床血液學(xué)雜志2004年1月第17卷第1期·9·急性白血病患者血漿VEGF測定及其臨床意義郭宗明謝兆霞秦憶譚達(dá)人[摘要]目的:探討急性白血病(AL)患者血漿血管內(nèi)皮細(xì)胞生長因子(VEGF)含量變化與I臨床病情的關(guān)系。方法:用雙抗體夾心酶聯(lián)免疫吸附法(ELISA)檢測54例AI患者血漿VEGF含量,同時(shí)檢測骨髓涂片有核細(xì)胞中原始及幼稚白細(xì)胞數(shù)。結(jié)果:①AI患者血漿VEGF含量[(64.76±34.86)ng/L]明顯高于對照組r(33.13±l1.97)ng/[
2、](PO.05)。結(jié)論:①AL患者血漿VEGF含量升高與白血病細(xì)胞生長、增殖有關(guān);②AI患者血
3、漿VEGF含量與臨床病情變化密切相關(guān),可作為了解病情、觀察療效、判斷預(yù)后的指標(biāo)之一。[關(guān)鍵詞]白血病,急性;血管內(nèi)皮細(xì)胞生長因子;預(yù)后[中圖分類號]R733.71[文獻(xiàn)標(biāo)識碼]A[文章編號]1004—2806(2004)01—0009—03TheclinicalsignificanceofdetectingplasmaVEGFcOncentratiOninacuteleukemiaGUOZongrningXIEZhaoxiaQJNTANDaren(DepartmentofHematology,XiangyaH
4、ospitalofZhongnanUniversity,Changsha410008,China)AbstractObjective:ToinvestigatetherelationshipsbetweenplasmaVEGFconcentrationandclinicalcondi—tioninacuteleukemia.Method:TheplasmaVEGFconcentrationof54patientswithacuteleukemiawasdetectedbyELISAandthenumberso
5、ftheblastcellofwhitebloodcellswerecountedwithinnucleatedcellsinbonemarrow.Result:①TheplasmaVEGFconcentrationoftheAIgroupwassignificantlyhigherthanthatofcontrol(64.76±34.86vs33.13±11.97ng/I,P<0.O1)andtherewaslinearcorrelationbetweentheplasmaVEGFconcentration
6、andtheratiooftheblastcellofwhitebloodcellsinbonemarrow(r:0.437,P<0.01).②TheplasmaVEGFconcentrationoftheuntreatedgroupwassignificantlyhigherthanthatofremissiongroup(76.01±40.18vs42.07±17.75ng/L,P<0.01)andtheplasmaVEGFconcentrationoftherefractory/relapsedgrou
7、pwasincreased(78.21±31.77ng/L)。whichwassignificantlyhigherthanthatofremissiongroup(P<0.01)。butnosignifi—cancebetweentherefractory/relapsedgroupandtheuntreatedgroup(P>O.05).Conclusion:①VEGFmayplayaroleinthegrowthandprliferationofleukemiacel1.②TheplasmaVEGFco
8、ncentrationissignificantlyassociatedwithclinicalcondition,soitcanbeoneoftheindicatorsforlearningclinicalfeaturesandpredictingprognosisofALpatients.KeywordsIeukemia,acute;Vascularendotheliagrowthfactor: