中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
3期
40-41,42
,共3页
缺血修饰白蛋白%心肌缺血%急性冠状动脉综合征
缺血脩飾白蛋白%心肌缺血%急性冠狀動脈綜閤徵
결혈수식백단백%심기결혈%급성관상동맥종합정
Ischemia modified albumin%Cardiac ischemia%Acute coronary syndrome
目的:研究缺血修饰白蛋白(IMA)对急性冠状动脉综合征(ACS)的诊断价值。方法:选取2011-2012年本院ACS患者50例为病例组,同时选择健康对照50例;再将患者分为缺血性组和非缺血性组,检测IMA、CK-MB等,并进行统计学分析。结果:病例组和对照组的IMA水平比较差异有统计学意义(P<0.001);缺血性组的IMA显著升高,与非缺血性组比较差异有统计学意义(P<0.001),OR为16.35(6.24-46.21),CK-MB的OR为2.13(1.12-6.11)。IMA对ACS的灵敏度和特异性分别为78%和85%,CK-MB则为56%和61%, IMA对心肌缺血和非缺血患者的曲线下面积(AUC)为0.831。结论:IMA对心肌缺血性疾病有良好的诊断价值。
目的:研究缺血脩飾白蛋白(IMA)對急性冠狀動脈綜閤徵(ACS)的診斷價值。方法:選取2011-2012年本院ACS患者50例為病例組,同時選擇健康對照50例;再將患者分為缺血性組和非缺血性組,檢測IMA、CK-MB等,併進行統計學分析。結果:病例組和對照組的IMA水平比較差異有統計學意義(P<0.001);缺血性組的IMA顯著升高,與非缺血性組比較差異有統計學意義(P<0.001),OR為16.35(6.24-46.21),CK-MB的OR為2.13(1.12-6.11)。IMA對ACS的靈敏度和特異性分彆為78%和85%,CK-MB則為56%和61%, IMA對心肌缺血和非缺血患者的麯線下麵積(AUC)為0.831。結論:IMA對心肌缺血性疾病有良好的診斷價值。
목적:연구결혈수식백단백(IMA)대급성관상동맥종합정(ACS)적진단개치。방법:선취2011-2012년본원ACS환자50례위병례조,동시선택건강대조50례;재장환자분위결혈성조화비결혈성조,검측IMA、CK-MB등,병진행통계학분석。결과:병례조화대조조적IMA수평비교차이유통계학의의(P<0.001);결혈성조적IMA현저승고,여비결혈성조비교차이유통계학의의(P<0.001),OR위16.35(6.24-46.21),CK-MB적OR위2.13(1.12-6.11)。IMA대ACS적령민도화특이성분별위78%화85%,CK-MB칙위56%화61%, IMA대심기결혈화비결혈환자적곡선하면적(AUC)위0.831。결론:IMA대심기결혈성질병유량호적진단개치。
Objective:To study the diagnosis value of ischemia modified albumin(IMA) in the acute coronary syndrome(ACS).Method:50 ACS patients admitted to our hospital were selected in our study from 2011 to 2012. 50 healthy volunteers formed the control group. IMA, CK-MB were detected on their admission, then analyzed statistically. Result:IMA comparative difference of the case group and the control group was statistically significant (P<0.001). IMA was significantly raised in ischemia patients, compared with the ischemic group, the difference was statistically significant (P<0.001), with anOR of 16.35 (6.24-46.21). CK-MB showed anOR of 2.13(1.12-6.11). Sensitivity and specificity of IMA for the detection of ACS was 78% and 85% , and CK-MB was 56% and 61%.The area under the ROC curve of IMA was 0.831 for ischemic v/s non-ischemic patients.Conclusion:IMA appears to be developing into a good and very potent marker of cardiac ischemia.