急性心肌梗死患者血浆结合珠蛋白的变化及其意义
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Association of the Level of Haptoglobin and Acute Myocardial Infarction
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    摘要:

    目的 探讨急性心肌梗死(AMI)患者血浆结合珠蛋白(Hp)的变化及其与冠状动脉狭窄的严重程度的相关性。方法 AMI并行冠状动脉造影术检查的患者98例,非冠心病的健康体检者90例作为对照组,检测血浆Hp浓度,对比AMI组与对照组血浆Hp浓度的差别;分析AMI患者血浆Hp浓度与冠状动脉病变支数及Gensini积分的相关性。结果 AMI组的血浆Hp浓度明显高于对照组,差异有统计学意义(P<0.01)。双支病变、三支病变AMI患者的Hp浓度明显高于单支病变AMI患者的Hp浓度,差异有统计学意义(P<0.05);Gensini积分>30的AMI患者Hp浓度明显高于Gensini积分<30的患者,差异有统计学意义(P<0.05)。AMI患者Hp血浆浓度与Gensini积分有显著性正相关(P<0.05)。结论 Hp水平的升高与AMI的发生有关,Hp水平与AMI患者冠状动脉狭窄的严重程度有关。

    Abstract:

    Aim To study the significance of the variations of plasma haptoglobin (Hp) in AMI patients. To discuss the correlation between the level of plasma Hp and the coronary stenosis degree in AMI patients. Methods 98 AMI patients were enrolled in this study and 90 healthy persons were selected as control. Detect plasma level of Hp study the difference of plasma Hp level between AMI group and control group. Analyze the correlation between plasma level of Hp and the counts of coronary stenosis as well as Gensini’s score in AMI group. Results Plasma level of Hp in AMI patients were significantly higher than the level in control (P<0.01). The plasma level of Hp in AMI patients with double branches or three branches stenosis were significantly higher than the plasma level of Hp in AMI patients with single branch stenosis (P<0.05). The plasma level of Hp in AMI patients with Gensini’s score>30 were significantly higher than the plasma level of Hp in AMI patients with Gensini’s score<30 (P<0.05). Plasma level of Hp in patients with AMI were significantly and positively correlated with their Gensini’s score. Conclusion There was some correlation between the increase of the level of Hp and the development of AMI. There was some correlation between the plasma level of Hp and coronary stenosis degree in AMI patients.

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赵 琛,王 航,肖芝秀.急性心肌梗死患者血浆结合珠蛋白的变化及其意义[J].中国动脉硬化杂志,2015,23(08):837~839.

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  • 收稿日期:2014-11-16
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  • 在线发布日期: 2015-07-21