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急性冠状动脉综合征患者血清胱抑素C、白细胞介素-6的变化

Levels of serum Cystatin C and IL-6 and its clinical significance in patients with acute coronary syndrome

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【作者】 李峰郭燕超方为民陈苏胡晓军王望东刘静黄敏余浩

【Author】 LI Feng1 GUO Yanchao2 FANG Weimin2 CHEN Su1 HU Xiaojun1 WANG Wangdong3 LIU Jing1 HUANG Min4 YU Hao1(1Department of Cardiology,Xinhua Hospital of Hubei Province,Wuhan,430015,China;2School of Public Health,Tongji Medical College of Huazhong University of Science and Tecnology;3Clinical Laboratory;4Human Resource Department,Xinhua Hospital of Hubei Province)

【机构】 湖北省新华医院心内科华中科技大学同济医学院公共卫生学院湖北省新华医院检验科湖北省新华医院人力资源部

【摘要】 目的:分析急性冠状动脉(冠脉)综合征(ACS)患者血清胱抑素C(CysC)和白细胞介素6(IL-6)水平变化及临床意义。方法:选择2010-08-2011-12我院住院患者102例,分为急性心肌梗死(AMI)组30例、不稳定型心绞痛(UAP)组45例、稳定型心绞痛(SAP)组27例;另选取77例非冠心病(CHD)住院患者为非CHD组。分别测定各组血清CysC与IL-6水平,组间进行两两比较。结果:UAP组血清CysC水平明显高于SAP组及非CHD组;AMI组血清CysC水平较UAP及SAP组低,与非CHD组比较差异无统计学意义。IL-6水平分别为:AMI组>UAP组>SAP组>非CHD组。结论:CysC与IL-6可能与ACS的发生发展有关,早期联合检测CysC与IL-6对预测ACS的发生和发展有一定指导意义。

【Abstract】 Objective:To study the change of serum Cystatin C(CysC) and IL-6 levels and its clinical significance in patients with acute coronary syndrome(ACS). Method:One hundred and two patients with CHD from August 2010 to December 2011 were selected and divided into acute myocardial infarction(AMI) group,unstable angina(UAP) group and stable angina(SAP) group.Seventy-seven patients without CHD were selected in non-CHD group.The level of CysC and IL-6 were detected. Result:The level of CysC in UAP group was higher than that in non-CHD group and SAP group(P<0.05).The level of CysC in AMI group was lower than that in UAP group and SAP group(P<0.05),and there was no significant difference between in non-CHD group and AMI group(P>0.05).The levels of IL-6 from high to low order were AMI group,UAP group,SAP group and non-CHD group. Conclusion:The expression of CysC and IL-6 may play a key role in the occurrence of ACS.Detecting CysC and IL-6 levels have a certain guiding significance in prediction of ACS occurrence.

  • 【文献出处】 临床心血管病杂志 ,Journal of Clinical Cardiology , 编辑部邮箱 ,2012年12期
  • 【分类号】R541.4
  • 【被引频次】2
  • 【下载频次】131
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