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冠心病患者血清超敏C-反应蛋白、纤维蛋白原和D-二聚体水平的研究 被引量:14

Levels of high-sensitivity C-reactive protein,fibrinogen and D-Dimer in serum of patients with coronary heart disease
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摘要 目的:检测冠心病(CHD)患者血清超敏C-反应蛋白(hs-CRP)、纤维蛋白原(FIB)和D-二聚体(DD)水平,探讨其在CHD中的临床应用价值。方法:选择CHD患者86例,采用免疫比浊法定量测定hs-CRP和DD,凝血酶凝固时间法(Clauss法)定量测定FIB,并以30例健康对照进行比较。结果:①急性心肌梗死(AMI)组、不稳定型心绞痛组血清hs-CRP、FIB、DD水平均明显高于稳定型心绞痛(SA)组和对照组,差异有统计学意义(P<0.01);②SA组血清hs-CRP水平明显高于对照组,差异有统计学意义(P<0.01);③SA组FIB、DD水平与对照组相比差异无统计学意义(P>0.05)。结论:CHD患者血清hs-CRP、FIB和DD的检测能较好地反映CHD患者的病情程度,有重要的临床应用价值。 Objective:To investigate the value of clinical application in coronary heart disease(CHD) by measuring serum levels of high-sensitivity C-reactive protein(hs-CRP),fibrinogen(FIB) and D-Dimer(DD) in patients with CHD.Method:The levels of hs-CRP and D-D in 86 patients with CHD were measured by turbidimetric immunoassay.The level of FIB was detected by Clauss.The 30 healthy cases regarded as controls.Result:①The serum levels of hs-CRP,FIB and D-D in patients with acute myocardial infarction(AMI) and unstable angina(UA) were higher than those in patients with stable angina(SA) and health controls significantly(P0.01).②The serum level of hs-CRP in patients with SA was higher than those in health controls significantly(P0.01).③The serum levels of FIB and D-D were no significant difference between SA and health controls(P0.05).Conclusion:The serum levels of hs-CRP,FIB and D-D can preferably reflect the severe degree of CHD,and have very important clinical value.
出处 《临床心血管病杂志》 CAS CSCD 北大核心 2011年第6期415-416,共2页 Journal of Clinical Cardiology
关键词 冠心病 C-反应蛋白 纤维蛋白原 D-二聚体 coronary disease high-sensitivity C-reactive protein fibrinogen D-Dimer
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