稳定型心绞痛患者血浆甘氨酸与冠状动脉SYNTAX积分的关系
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(武汉市第四医院 华中科技大学同济医学院附属普爱医院心内科,湖北省武汉市 430022)

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彭明,硕士,住院医师,研究方向为冠心病介入治疗,E-mail为papengming@163.com。通信作者成忠,主任医师,研究方向为冠心病及心律失常介入治疗。

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Relationship between plasma glycine level and coronary SYNTAX score in patients with stable angina pectoris
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Department of Cardiology, Wuhan Fourth Hospital & Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China)

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    摘要:

    目的 观察稳定型心绞痛(SAP)患者血浆甘氨酸水平与冠状动脉SYNTAX积分的关系。方法 采用病例对照研究设计,将120例SAP患者设为SAP组,同期年龄、性别匹配的120例体检者设为对照组。SAP组行冠状动脉造影检查,根据SYNTAX积分(SS)分为低SS组、中SS组和高SS组。比较SAP组与对照组临床资料,并比较SAP各亚组与对照组临床资料,采用Logistic回归分析SAP的影响因素及血浆甘氨酸与SYNTAX积分的关系。结果 SAP组高密度脂蛋白胆固醇(HDLC)水平明显低于对照组(P<0.05),低密度脂蛋白胆固醇(LDLC)、高敏C反应蛋白(hs-CRP)、血浆甘氨酸水平均明显高于对照组(P<0.05)。SAP各亚组与对照组HDLC、LDLC、hs-CRP和甘氨酸水平差异均有统计学意义(P<0.05)。Logistic回归分析显示,随着血浆甘氨酸、LDLC、SYNTAX积分的增高,SAP的患病率有增加的趋势,血浆甘氨酸(OR=1.146,95%CI:1.013~1.246,P<0.01)为中、高SYNTAX积分的独立预测因素。结论 血浆甘氨酸、LDLC、SYNTAX积分是SAP的影响因素,其中血浆甘氨酸为中、高SYNTAX积分的独立预测因素。

    Abstract:

    Aim To observe the relationship between plasma glycine level and coronary SYNTAX scores in patients with stable angina pectoris (SAP). Methods Using case-control study design, 120 patients with SAP were assigned to SAP group and 120 age-matched and gender-matched physical examinees were assigned to control group. Coronary angiography was performed in SAP group. According to SYNTAX scores (SS), SAP group was divided into low SS group, middle SS group and high SS group. The clinical data of SAP group and control group were compared. The clinical data of SAP subgroup and control group were compared by variance analysis. The influencing factors of SAP and the relationship between plasma glycine and SYNTAX scores were analyzed by logistic regression. Results High density lipoprotein cholesterol (HDLC) in SAP group was significantly lower than that in control group (P<0.05), low density lipoprotein cholesterol (LDLC), high sensitivity C-reactive protein (hs-CRP) and plasma glycine were significantly higher than those in control group (P<0.05). There were significant differences in HDLC, LDLC, hs-CRP and glycine levels between SAP subgroup and control group (P<0.05). Logistic regression analysis showed that the prevalence of SAP increased with the increase of plasma glycine, LDLC and SYNTAX scores, and plasma glycine (OR=1.6,5%CI:1.013~1.246, P<0.01) was an independent predictor of moderate and high SYNTAX scores. Conclusion The plasma glycine, LDLC and SYNTAX scores were the influencing factors of SAP, and plasma glycine was the independent predictor of high and medium SYNTAX scores.

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彭明,肖杰,王岚,成忠.稳定型心绞痛患者血浆甘氨酸与冠状动脉SYNTAX积分的关系[J].中国动脉硬化杂志,2019,27(9):769~773.

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  • 收稿日期:2018-10-11
  • 最后修改日期:2018-12-19
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  • 在线发布日期: 2019-07-08