急性心肌梗死与C-反应蛋白的关系探讨  

The Relationship of AMI and CRP

作　　者：朱豫川[1] 金妙珍[1] 

机构地区：[1]南京理工大学医院,南京210094

出　　处：《高校保健医学研究与实践》2005年第4期47-48,58,共3页Health Medicine Research and Practice in Higher Institutions

摘　　要：目的探讨C-反应蛋白水平(CRP)与急性心肌梗死(AMI)发病间的关系,并判断病情预后。方法采用分组比较的办法,实验组:45例发病后6h内入院的AMI病人,入院后并动态监测CRP。并以CRP增高的程度和持续时间不同分为A、B两组。对照组:选择在年龄和性别构成上与实验组差异无统计学意义的健康体检人员49例监测CRP。结果AMI患者中,CRP水平明显高于正常人群;AMI病程中,随病程延长,CRP呈现峰值关系;A组病死率33.3%,明显高于B组,差异有统计学意义(p<0.01)。心绞痛及心衰发生率也高于B组,差异有统计学意义(p<0.01)。结论AMI患者CRP较正常人明显升高,且CRP水平对AMI预后判定有重要意义。Objective To discuss the relation between the level of CRP （C-reactive protein） and the coming on of AMI （acute myocardial infarction）, then to judge the state of the illness and to predict. Method One group is 45 AMI patients while the other group is 49 healthy People, and their levels of CRP will be inspected. Resuits The AMI patients＇ CRP levels are higher; and there is the shape of peak with the time of the illness lasting. Their death rate and the rate of angina and heart failure is higher, too. Conclusion The level of AMI patient is distinctly higher than healthy people, and the level of CRP is important for judging the state of the illness and predicting.

关 键 词：急性心肌梗死 C-反应蛋白 

分 类 号：R542.22[医药卫生—心血管疾病]