D-二聚体/纤维蛋白原比值对急性冠脉综合征的诊断价值  

Diagnosis Value of D-dimer/Fibrinogen Ratio in Acute Coronary Syndrome

作　　者：夏泉 杨静[1] 李从圣[1] 王勇[1] 朱毅[1] 陶红[1] 张中明 郝玉瑜[1] Quan Xia;Jing Yang;Congsheng Li;Yong Wang;Yi Zhu;Hong Tao;Zhongming Zhang;Yuyu Hao(Department of Emergency,Hefei First People's Hospital,Anhui,Hefei 230000,China)

机构地区：[1]合肥市第一人民医院急诊内科,安徽合肥230000

出　　处：《西藏医药》2020年第3期16-17,共2页Tibetan Medicine

摘　　要：目的 探讨D-二聚体/纤维蛋白原比值对急性冠脉综合征的诊断价值。方法 收集2018年1月~2019年9月在本院就诊的并接受冠状动脉造影检查的患者150例。根据冠状动脉造影结果,将其分为A组(急性心肌梗死(AMI)组)、B组(稳定型心绞痛(SAP)组)、C组(不稳定型心绞痛(UAP)组),每组各50例。通过对D-二聚体、纤维蛋白原、D/F比值3项指标检测,评价对ACS诊断的应用价值。结果 D-二聚体、纤维蛋白原的水平:A组最高,其次是C组、B组,组间差异有统计学意义(P<0.01);D/F比值C组水平最高,其次是A组、B组,组间差异有统计学意义(P<0.01)。结论 D-二聚体、纤维蛋白原、D/F比值指标对ACS的诊断具有重要价值,其中D/F比值诊断价值最高。Objective:To investigate the diagnostic value of d-dimer/fibrinogen ratio(D/F ratio)in acute coronary syndrome.Methods:Totally,150 patients were admitted and treated in our hospital undergoing coronary angiography.They were divided into A group(patients with AMI),B group(patients with SAP),and C group(patients with UAP)by coronary angiography results,each group of 50 cases.The d-dimer,fibrinogen,and D/F ratio were detected for evaluating the diagnostic value of acute coronary syndrome.Results:The levels of d-dimer and fibrinogen in A group were the highest,the second were C group,and B group were the last.The D/F ratio in C group was the highest,the second was A group,and B group was the last(P<0.01).Conclusions:The index of D/F ratio is superior to d-dimer and fibrinogen,although,all of them have important value for the diagnosis of acute coronary syndrome.

关 键 词：D-二聚体/纤维蛋白原比值 急性冠脉综合征 诊断价值 

分 类 号：R541.4[医药卫生—心血管疾病]