CAJ | 학술논문

目的：探讨血浆D-二聚体水平在急性冠脉综合征(ACS)患者中的变化与临床意义。方法检测121例急性冠脉综合征(ACS)患者血浆D-二聚体水平，其中不稳定心绞痛(UAP)患者43例，非ST段抬高型心肌梗死(NSTEMI)患者30例，ST段抬高型心肌梗死(STEMI)患者48例，与50例对照组比较，并进行统计分析。结果 ACS各组血浆D-二聚体水平均高于对照组(P＜0.05)；STEMI组血浆D-二聚体水平高于NSTEMI组(P＜0.05)和UAP组(P＜0.05)。结论 ACS患者血浆D-二聚体水平增高对ACS的防治和病情的观察有重要的临床意义。
목적：탐토혈장D-이취체수평재급성관맥종합정(ACS)환자중적변화여림상의의。방법검측121례급성관맥종합정(ACS)환자혈장D-이취체수평，기중불은정심교통(UAP)환자43례，비ST단태고형심기경사(NSTEMI)환자30례，ST단태고형심기경사(STEMI)환자48례，여50례대조조비교，병진행통계분석。결과 ACS각조혈장D-이취체수평균고우대조조(P＜0.05)；STEMI조혈장D-이취체수평고우NSTEMI조(P＜0.05)화UAP조(P＜0.05)。결론 ACS환자혈장D-이취체수평증고대ACS적방치화병정적관찰유중요적림상의의。
Objective To evaluate the changes of plasma D-dimer level in the patients with acute coronary syndrome (ACS) and its clinical significance. Methods Plasma D-dimer levels of 121 patients with acute coronary syndrome (ACS) were detected, among them, 43 patients with unstable angina pectoris (UAP), 30 patients with non ST-elevation myocardial infarction (NSTEMI), and 48 patients with ST-elevation myocardial infarction(STEMI). Their plasma D-dimer levels were compared with those of 50 cas-es in control group by statistical analysis. Results The plasma D-dimer level in each ACS group was higher than that in control group (P<0.05). The plasma D-dimer level in STEMI group was higher than those in NSTEMI group(P<0.05) and UAP group(P<0.05). Conclusion The increase of plasma D-dimer in patients with ASC has an important clinical significance for the prevention of ACS and condition monitoring.