哈尔滨医科大学学报
哈爾濱醫科大學學報
합이빈의과대학학보
JOURNAL OF HARBIN MEDICAL UNIVERSITY
2014年
4期
338-341
,共4页
不稳定性心绞痛%心电图%炎症反应%肌钙蛋白%肌酸激酶MB同工酶
不穩定性心絞痛%心電圖%炎癥反應%肌鈣蛋白%肌痠激酶MB同工酶
불은정성심교통%심전도%염증반응%기개단백%기산격매MB동공매
unstable angina%electrocardiogram%inflammation marker%cardiac troponin%MB isoenzyme of creatine kinase
目的:探讨心电图评价不稳定性心绞痛( unstable angina , UA)的化验指标特征。方法156例入选UA患者按心电ST段是否抬高及T波是否倒置分组,分别比较两组患者炎症标志物白细胞计数及C反应蛋白(C-reactive protein, CRP)、心肌细胞坏死标志物心肌肌钙蛋白T(cardiac troponin T, cTnT)和肌酸激酶MB同工酶( MB isoenzyme of creatine kinase , CK-MB)、血栓形成相关因子血尿酸( blood uric acid, BUA)和低密度脂蛋白胆固醇( low density lipoprotein cholesterol , LDL-C)和TIMI危险分数。结果ST段抬高UA患者和非ST段抬高UA患者比较,ST段抬高UA患者的白细胞计数、CRP、cTnT、BUA、LDL-C和TIMI危险分数显著高于非ST段抬高UA患者,且有统计学差异( P<0.05);T波倒置UA患者和T波直立UA患者比较,T波倒置UA患者的白细胞计数、CRP、cTnT、BUA、LDL-C和TIMI危险分数显著高于T波直立UA患者,且有统计学差异( P<0.05)。结论通过心电图可以快速评价不稳定性心绞痛患者病情及预后,为其治疗提供依据。
目的:探討心電圖評價不穩定性心絞痛( unstable angina , UA)的化驗指標特徵。方法156例入選UA患者按心電ST段是否抬高及T波是否倒置分組,分彆比較兩組患者炎癥標誌物白細胞計數及C反應蛋白(C-reactive protein, CRP)、心肌細胞壞死標誌物心肌肌鈣蛋白T(cardiac troponin T, cTnT)和肌痠激酶MB同工酶( MB isoenzyme of creatine kinase , CK-MB)、血栓形成相關因子血尿痠( blood uric acid, BUA)和低密度脂蛋白膽固醇( low density lipoprotein cholesterol , LDL-C)和TIMI危險分數。結果ST段抬高UA患者和非ST段抬高UA患者比較,ST段抬高UA患者的白細胞計數、CRP、cTnT、BUA、LDL-C和TIMI危險分數顯著高于非ST段抬高UA患者,且有統計學差異( P<0.05);T波倒置UA患者和T波直立UA患者比較,T波倒置UA患者的白細胞計數、CRP、cTnT、BUA、LDL-C和TIMI危險分數顯著高于T波直立UA患者,且有統計學差異( P<0.05)。結論通過心電圖可以快速評價不穩定性心絞痛患者病情及預後,為其治療提供依據。
목적:탐토심전도평개불은정성심교통( unstable angina , UA)적화험지표특정。방법156례입선UA환자안심전ST단시부태고급T파시부도치분조,분별비교량조환자염증표지물백세포계수급C반응단백(C-reactive protein, CRP)、심기세포배사표지물심기기개단백T(cardiac troponin T, cTnT)화기산격매MB동공매( MB isoenzyme of creatine kinase , CK-MB)、혈전형성상관인자혈뇨산( blood uric acid, BUA)화저밀도지단백담고순( low density lipoprotein cholesterol , LDL-C)화TIMI위험분수。결과ST단태고UA환자화비ST단태고UA환자비교,ST단태고UA환자적백세포계수、CRP、cTnT、BUA、LDL-C화TIMI위험분수현저고우비ST단태고UA환자,차유통계학차이( P<0.05);T파도치UA환자화T파직립UA환자비교,T파도치UA환자적백세포계수、CRP、cTnT、BUA、LDL-C화TIMI위험분수현저고우T파직립UA환자,차유통계학차이( P<0.05)。결론통과심전도가이쾌속평개불은정성심교통환자병정급예후,위기치료제공의거。
Objective To explore the characteristics of test indexes in patients with unstable angina ( UA ) examined by electrocardiogram .Methods One hundred and fifty-six patients with UA were selected and divided into two groups by electrocardiogram ST changes or not and T wave changes or not .Then inflammation markers such as the number of leukocytes and C-re-active protein(CRP), myocardial infarction markers such as cardiac troponin T (cTnT)and MB isoenzyme of creatine kinase ( CK-MB) , factors associated with thrombosis , such as blood uric acid( BUA) and low density lipoprotein cholesterol ( LDL-C) and TIMI risk score between two groups were detected and compared .Results The number of leukocytes , CRP, cTnT, BUA, LDL-C and TIMI risk score were significantly higher in ST-segment elevation UA group than those in non-ST-Segment elevation UA ( P<0.05 ) .The number of leukocytes , CRP, cTnT, BUA and TIMI risk score was significantly higher in inverted T wave UA group than those in up-right T wave UA group ( P<0.05 ) .Conclusion The conditions and prognosis of the pa-tients with UA can be quickly evaluated by electrocardiogram , which may provide evidence for treatment.