血清ApoB/ApoA1、CK-MB、cTnI水平与冠心病患者冠状动脉狭窄程度的关系
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(湖州市第一人民医院心内科,浙江省湖州市 313000)

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章琪,副主任医师,研究方向为冠心病诊疗、房颤、抗凝抗血栓等,E-mail为zq2077554@163.com。通信作者罗玉寅,主任医师,研究方向为冠心病介入诊疗,E-mail为luoyuyin@medmail.com.cn。

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湖州市科技局公益性一般项目(2018GY13)


The relationship between the levels of ApoB/ApoA1, CK-MB, cTnI and the degree of coronary artery stenosis in patients with coronary heart disease
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Department of Cardiology, Huzhou First People's Hospital, Huzhou, Zhejiang 313000, China)

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    摘要:

    目的 探讨血清载脂蛋白B(ApoB)/血清载脂蛋白A1(ApoA1)、肌酸激酶同工酶(CK-MB)、心肌肌钙蛋白I(cTnI)水平与冠心病(CHD)患者冠状动脉狭窄程度的关系。方法 选择120例冠心病患者作为CHD组,另选择40例同期健康体检者作为正常组,比较正常组和CHD组ApoB/ApoA1、CK-MB及cTnI水平差异。此外,按照Gensini评分将CHD组患者分为轻、中、重度狭窄组三组,分别为25例、52例、43例,比较不同狭窄程度CHD患者ApoB/ApoA1、CK-MB及cTnI水平差异。并采用Spearman法分析ApoB/ApoA1、CK-MB及cTnI水平与冠状动脉狭窄程度的相关性。结果 CHD组ApoB/ApoA1、CK-MB、cTnI水平较正常组明显升高(P<0.05)。中度狭窄组ApoB/ApoA1、CK-MB、cTnI水平较轻度狭窄组明显升高(P<0.05),且重度狭窄组较轻、中度狭窄组明显升高(P<0.05)。冠心病患者ApoB/ApoA1、CK-MB及cTnI水平与冠状动脉狭窄程度均呈正相关(r分别为0.694、0.920、0.930,P<0.05)。结论 冠心病患者血清ApoB/ApoA1、CK-MB及cTnI水平与冠状动脉狭窄程度呈正相关。

    Abstract:

    Aim To investigate the relationship between serum apolipoprotein B (ApoB)/apolipoprotein A1 (ApoA1), creatine kinase isoenzyme (CK-MB) and cardiac troponin I (cTnI) levels and the degree of coronary artery stenosis in patients with coronary heart disease (CHD). Methods 120 patients with CHD were selected as the CHD group, and 40 healthy people who underwent a physical examination during the same period were selected as the normal group. The differences of ApoB/ApoA1, CK-MB and cTnI between normal group and CHD group were compared. In addition, patients in the CHD group were divided into three groups of mild, moderate, and severe coronary artery disease according to the Gensini scores, 25 cases, 52 cases, and 43 cases in each group, respectively. The differences of ApoB/ApoA1, CK-MB and cTnI in CHD patients with different stenosis degrees were compared. In addition, Spearman method was used to analyze the correlation between ApoB/ApoA1, CK-MB and cTnI levels and the degree of coronary artery stenosis. Results The levels of ApoB/ApoA1, CK-MB and cTnI in the CHD group were evidently higher than those in the normal group (P<0.05). The levels of ApoB/ApoA1, CK-MB and cTnI in the moderate CHD group were evidently higher than those in the mild CHD group (P<0.05), and the severe CHD group were evidently higher than those in the mild and moderate CHD groups (P<0.05). ApoB/ApoA1, CK-MB and cTnI levels were positively correlated with the degree of coronary artery stenosis (r=0.4,0.0,0.930, P<0.05). Conclusion The levels of serum ApoB/ApoA1, CK-MB and cTnI in patients with CHD are positively correlated with the degree of coronary artery stenosis.

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章琪,罗玉寅.血清ApoB/ApoA1、CK-MB、cTnI水平与冠心病患者冠状动脉狭窄程度的关系[J].中国动脉硬化杂志,2021,29(10):875~878.

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  • 收稿日期:2021-01-20
  • 最后修改日期:2021-06-22
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  • 在线发布日期: 2021-10-13