血清尿酸和超敏C反应蛋白水平在稳定型心绞痛患者病情监测中的临床意义

Clinical significance of serum uric acid and hypersensitivity C-reactive protein in monitoring the conditions of patients with stable angina pectoris

  • 摘要: 目的:回顾性研究稳定型心绞痛患者血清尿酸(UA)和超敏 C 反应蛋白(hs-CRP)监测的意义。方法对146例稳定型心绞痛患者的 UA 和 hs-CRP 水平进行检测,随访观察,1年后根据病情发展情况分为稳定组98例和进展组48例,检测2组的 UA 和 hs-CRP 水平,另选取健康体检者作为对照组,检测 UA 和 hs-CRP 水平,对比分析。结果初查时,稳定组及进展组患者 UA 和 hs-CRP 的水平显著高于对照组(P <0.01);进展组患者 UA 和 hs-CRP 的水平显著高于稳定组(P <0.01)。复查后发现,稳定组患者复查后 UA 和 hs-CRP 的水平与初查时比较有增高趋势,但无显著差异(P >0.05);进展组患者傅查后 UA和 hs-CRP 的水平显著高于初查时结果(P <0.01);进展组患者 UA 和 hs-CRP 的水平显著高于稳定组(P <0.01)。结论稳定型心绞痛患者血清 UA 和 hs-CRP 水平与病情发展和预后密切相关,检测此2项指标有利于了解病情严重程度,以做早期积极处理。

     

    Abstract: Objective To retrospectively analyze the clinical significance of serum uric acid (UA)and hypersensitivity C-reactive protein (hs-CRP)in monitoring the conditions of patients with stable angina pectoris (SAP).Methods Serum UA and hs-CRP levels in SAP patients were detected,and were divided into stable group (98 cases)and progressive group (48 cases)after 1-year follow up and observation.Serum UA and hs-CRP levels were detected in both groups.And another 50 healthy people were selected as control group to compare the serum UA and hs-CRP lev-els.Results In primary investigation,serum UA and hs-CRP levels in stable and progressive groups were evidently higher than in control group (P <0.01),and were obviously higher in progressive group than in stable group (P <0.01).After re-examination,they had slight increase in stable group than in primary investigation,but the difference was not significant (P >0.05).However, they were markedly higher in progressive after re-examination than in primary investigation and sta-ble group (P <0.01).Conclusion Serum UA and hs-CRP levels in patients with SAP are closely associated with the development and prognosis of SAP,whose detections are helpful in investigating disease severity and conduct early treatment.

     

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