多指标联合监测在冠心病早期诊断中的应用研究  

Application of multi-index combined monitoring in early diagnosis of coronary heart disease

作　　者：徐向聪 XU Xiangcong(Hospital of Traditional Chinese Medicine of Yuexiu District,Guangzhou 510030,China)

机构地区：[1]广州市越秀区中医医院,广州510030

出　　处：《广州医药》2019年第2期50-53,共4页Guangzhou Medical Journal

摘　　要：目的探讨多指标联合监测在冠心病(CHD)早期诊断中的应用。方法选择2018年6月—2018年12月在我院就诊的患者180例,其中动脉硬化中低危人群60例(低危组),动脉硬化中高危人群60例(高危组),确诊的冠心病患者(CHD组),另选取健康体检者60例为对照组。分析血浆游离脂肪酸、高敏C反应蛋白、尿β-2微球蛋白、血清25羟维生素D及血脂水平与冠心病之间的关系。结果低危组、高危组和CHD组患者FFA、hs-CRP、β_2-MG、TC、TG、LDL-C水平均高于对照组,血清25羟维生素D_3、HDL-C水平均低于对照组,差异均有统计学意义(P<0.05);低危组、高危组和CHD组患者的血清FFA、hs-CRP、β_2-MG、TC、TG、LDL-C水平逐渐升高,血清25羟维生素D_3、HDL-C逐渐降低,以CHD组最为显著。冠心病患者血清HDL-C的敏感度高于其他各指标(P<0.05);血清FFA、hs-CRP的特异度高于其他各指标(P<0.05)。结论多指标联合检测对于早期诊断冠心病患者有一定意义。Objective To explore the application of multi-index combined monitoring in early diagnosis of coronary heart disease (CHD),Methods 180 patients were selected from June 2018 to December 2018 in our hospital. Among them, 60 patients with middle and low risk of atherosclerosis (low risk group), 60 patients with middle and high risk of atherosclerosis (high risk group), 60 patients with confirmed coronary heart disease (CHD group), and 60 healthy people were selected as control group. The relationship between plasma free fatty acid, high sensitivity C-reactive protein, urinary β-2 microglobulin, serum 25-hydroxyvitamin D and blood lipid levels and coronary heart disease was analyzed. Results The levels of FFA, hs-CRP, beta 2-MG, TC, TG and LDL-C in low-risk group, high-risk group and CHD group were higher than those in control group, and serum levels of 25-hydroxyvitamin D3 and HDL-C were lower than those in control group ( P <0.05). The levels of FFA, hs-CRP, beta 2-MG, TC, TG and LDL-C in low-risk group, high-risk group and CHD group increased gradually, while serum levels of 25-hydroxyvitamin D3, H-MG, TC, TG and LDL-C increased gradually. DL-C decreased gradually, especially in CHD group. The sensitivity of serum HDL-C in patients with coronary heart disease was higher than that of other indicators ( P <0.05), and the specificity of serum FFA and hs-CR P was higher than that of other indicators ( P <0.05). Conclusion The combined detection of multiple indicators has certain significance for the early diagnosis of coronary heart disease.

关 键 词：冠心病 血浆游离脂肪酸 高敏C反应蛋白 尿β-2微球蛋白 早期诊断 

分 类 号：R541.4[医药卫生—心血管疾病]