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1、冠心病诊断中超敏C反应蛋白及血清同型半胱氨酸联合检查意义评析【摘要】目的探索冠心病口断中超敏c反应蛋白(hs-CRP)与血清同型半胱氨酸(HCY)联合检查的临床价值。方法120例疑似冠心病患者作为观察组(不稳定型心绞痛、心肌梗死、稳定型心绞痛各40例),40例健康体检者作为对照组,对所有研究对象进行hs-CRP与血清HCY联合检查。结果观察组稳定型心绞痛患者的HCY为(12.58±4.25)pmol/L,B型脑钠肽(BNP)为(186.25±85.36)pg/ml,hs-CRP为(1.68±0.89)ng/ml,肌红蛋白为(124.36±36.47)ng/ml,肌钙蛋
2、白为(0.74±0.95)ng/ml;心肌梗死患者的HCY为(13.98±4.74)pmol/L,BNP为(451.36±89・36)pg/ml,hs-CRP为(1.75±1.27)ng/ml,肌红蛋白为(154.25±38.61)ng/ml,肌钙蛋白为(1.65±0.47)ng/ml;不稳定型心绞痛患者的HCY为(15.96±5.18)pmol/L,BNP为(765.36±105.69)pg/ml,hs-CRP为(1.87±1.47)ng/ml,肌红蛋白为(174.85±42.95)ng/ml,肌钙蛋白为(1.78±1.42)ng/ml,观察组各种患者各指标数据均高于
3、对照组的(9.56±2.47)pmol/L、(59.36±30.47)pg/mk(0.21±0.05)ng/mL(86.31±24.05)ng/mk(0.31±0.14)ng/ml,差异有统计学意义(P0.05b结论hs-CRP联合血清HCY在冠心病患者中具有较高的诊断价值【关键词】冠心病;超敏C反应蛋白;血清同型半胱氨酸;诊断DOI:10.14163/j.cnki.11-5547/r.2O17.09.015Evaluationandanalysisonsignificanceofjointinspectionofhigh-sensitivityC-reactivepr
4、oteinandserumhomocysteineindiagnosisofcoronaryheartdiseaseLIUGuo-lian,LIXia,CHENYu・feng.DepartmentofLaboratory,GuangdongProvineeMaomingCityPeople5sHospital,Maoming525000,China[Abstract]ObjectiveToexploreclinicalvalueofjointinspectionofhigh-sensitivityC-reactiveprotein(hs-CRP)andserumhomo
5、cysteine(HCY)indiagnosisofcoronaryheartdisease・MethodsTherewere120suspectedcoronaryarterydiseasepatientsasobservationgroup(with40casesinunstableanginapectoris,myocardialinfarctionandstableanginapectoris),and40healthexaminationpeopleascontrolgroup・Allstudysubjectsreceivedjointinspectionof
6、hs-CRPandserumHCY.ResultsStableanginapectorispatientsinobservationgrouphadHCYas(12.58±4.25)pmol/L,B-typenatriureticpeptide(BNP)as(186.25185.36)pg/ml,hs-CRPas(1.68±0.89)ng/ml,myohemoglobinas(124.36±36.47)ng/ml,troponinas(0.74±0.95)ng/ml.MyocardialinfarctionpatientshadHCYas(13.98±4.74)pmol
7、/L,BNPas(451.36±89.36)pg/ml,hs-CRPas(1.75±1.27)ng/ml,myohemoglobinas(154.25±38.61)ng/ml,troponinas(1.65±0.47)ng/ml.UnstableanginapectorispatientshadHCYas(15.96±5.18)pmol/L,BNPas(765.36±105.69)pg/ml,hs-CRPas(1.87±1.47)ng/ml,myohemoglobinas(174.85±42.95)ng/ml,troponinas(1.7