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急性冠状动脉综合征患者治疗前后血清高敏C反应蛋白的变化

Changes of serum high-sensitivity C-reactive protein in patients with acute coronary syndrome before and after treatment

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【作者】 方玉才邢小中蒋洪平黄水明钱健

【Author】 FANG Yucai, XING Xiaozhong, JIANG Hongping, HUANG Shuiming, QIAN Jian. Department of Clinical Laboratory, Tonglu First People’s Hospital, Zhejiang Tonglu 311500, China

【机构】 桐庐县第一人民医院检验科桐庐县第一人民医院心内科桐庐县第一人民医院心内科 浙江桐庐311500浙江桐庐311500浙江桐庐311500

【摘要】 目的研究急性冠状动脉综合征(ACS)患者住院治疗前后血清高敏C反应蛋白(hs-CRP)含量的变化及意义。方法采用胶乳增强免疫透射比浊法测定137例ACS患者、52例稳定型心绞痛(SAP)患者、86名健康人血清中hs-CRP的含量。结果SAP、ACS患者hs-CRP水平与正常对照组相比均明显增高。ACS患者住院治疗后血清hs-CRP浓度均明显降低。入院时hs-CRP>10.0mg/L提示再发冠状动脉病变的可能性很大,出院时hs-CRP>3.0mg/L的患者易再发心绞痛、心肌梗死。结论血清hs-CRP在ACS发生时明显增高,可以作为ACS的预报,是一个独立的心血管疾病危险因素。

【Abstract】 Objective To study the change and significance of serum high-sensitivity C-reactive protein (hs-CRP) in patients with acute coronary syndrome(ACS) before and after treatment. Methods The serum levels of hs-CRP in 137 patients with ACS, 52 patients with stable aragina pectoris (SAP) and 86 normal controls were determined by emul enhanced immunoturbidimetric assay. Results The level of hs-CRP in ACS group and SAP group was significantly higher than that in control group(P<0.01). The level of hs-CRP in ACS patients was significantly decreased after treatment (P<0.01). Patients with hs-CRP>10.0 mg/L during hospitalization or with hs-CRP>3.0 mg/L on leaving hospital were more possible to occurence of palindromia. Conclusions The level of hs-CRP was significantly high in ACS. It could be predicted occurrence of ACS. The hs-CRP is a indepedent risk factor of ACS.

  • 【文献出处】 检验医学 ,Shanghai Journal of Medical Laboratory Sciences , 编辑部邮箱 ,2005年05期
  • 【分类号】R541.4
  • 【被引频次】1
  • 【下载频次】56
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