急性冠脉综合征的危险因素分析  

Risk factor analysis on acute coronary syndrome

作　　者：王威[1] 吴华雄[1] 胡珊[1] 孟新科[1] 

机构地区：[1]深圳市第二人民医院心血管内科,深圳518000

出　　处：《中国当代医药》2015年第5期39-41,共3页China Modern Medicine

摘　　要：目的探讨急性冠脉综合征的危险因素。方法本院2012年1月-2014年6月所有确诊ACS入院的233例患者纳入观察组,156例稳定型心绞痛患者纳入对照组,分析并比较两组的H-FABP水平、cTnI水平、传统预测指标等。结果两组的H-FABP水平、cTnI水平、心功能Killip分级比较差异有统计学意义（P〈0.05）。H-FABP和心功能Killip分级是ACS近期独立危险因素,OR分别为5.987和2.956。结论 H-FABP针对ACS短期内心血管危险预测有重要的临床意义,是诊断患者病情并分析与预后判断的理想指标,值得临床推广。Objective To explore the risk factor of acute coronary syndrome （ACS）. Methods 233 patients with definite diagnosis of ACS from January 2012 to June 2014 were selected as observation group,and 156 patients with stable angina pectoris were chosen as control group.Level of H-fatty acid binding protein （H-FABP）,cTnI and conventional predictive index in two groups were analyzed and compared. Results H-FABP level,cTnI level and Killip classification of cardiac function in two groups was compared respectively,wtih statistical difference（P〈0.05）.H-FABP and killip clas- sification of cardiac function was recent independent risk factor of ACS respectively,and the relative risk degree was 5.987 and 2.956 respectively. Conclusion H-FABP plays an important clinical significance on short-term cardiovascu- lar risk prediction and is an ideal index to diagnose and analyze the disease condition,and make judgment on prognosis, which is worthy of expansion in clinic.

关 键 词：心肌脂肪酸结合蛋白 急性冠脉综合征 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]