外周血血管紧张素Ⅱ、缺血修饰白蛋白及C反应蛋白对静脉血栓栓塞症的预测价值
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作者单位:

(石家庄市人民医院骨科,河北省石家庄市 050000)

作者简介:

王兆娜,主管护师,研究方向为静脉血栓栓塞症的防治,E-mail:aiai1089@126.com。

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基金项目:

石家庄市科学技术研究与发展指导计划项目(181461353)


The predictive value of peripheral blood angiotensinⅡ, ischemia-modified albumin, C-reactive protein for venous thromboembolism
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Affiliation:

Department of Orthopedics, Shijiazhuang People's Hospital, Shijiazhuang, Hebei 050000, China)

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    摘要:

    目的]探究外周血血管紧张素Ⅱ(AngⅡ)、缺血修饰白蛋白(IMA)、C反应蛋白(CRP)对静脉血栓栓塞症(VTE)的预测价值。[方法]选择2018年6月—2021年1月于石家庄市人民医院就诊的170例VTE患者为研究组,以同期进行检测的101例健康受试者为对照组。严格按照ELISA试剂盒说明书的方法检测两组的AngⅡ、IMA和CRP水平。Logistic回归分析AngⅡ、IMA及CRP三项指标与VTE的关联性。[结果]研究组AngⅡ、IMA和CRP水平显著高于对照组,D-二聚体水平显著低于对照组,差异具有统计学意义(P<0.05)。两组高密度脂蛋白、低密脂蛋白及血小板计数无统计学差异(P>0.05)。研究组甘油三酯和纤维蛋白原水平显著高于对照组,差异具有统计学意义(P<0.05)。Logistic回归分析显示,AngⅡ、IMA和CRP是VTE的独立危险因素。在ROC曲线图中,AngⅡ、IMA和CRP三项指标联合检验VTE的灵敏度为97.6%,特异度为88.9%。[结论]外周血AngⅡ、IMA和CRP三项指标在VTE的预测中具有很好的价值,值得在临床上进一步推广。

    Abstract:

    Aim To explore the predictive value of peripheral blood angiotensinⅡ (AngⅡ), ischemia-modified albumin (IMA) and C-reactive protein (CRP) for venous thromboembolism (VTE). Methods 170 patients with VTE who were treated in Shijiazhuang People's Hospital from June 2018 to January 2021 were selected as the study group, and 101 healthy subjects in the same period were selected as the control group. The levels of AngⅡ, IMA and CRP in the two groups were detected in strict accordance with the instructions of ELISA kit. Logistic regression analysis was used to analyze the correlation between AngⅡ, IMA and CRP and VTE. Results The levels of AngⅡ, IMA and CRP in the study group were significantly higher than those in the control group, and the level of D-dimer in the study group was significantly lower than that in the control group (P<0.05). There was no significant difference in HDL, LDL and platelet count between the two groups (P>0.05). The levels of triglyceride and fibrinogen in the study group were significantly higher than those in the control group (P<0.05). Logistic regression analysis showed that AngⅡ, IMA and CRP were independent risk factors for VTE. In the ROC curve, the sensitivity and specificity of AngⅡ, IMA and CRP were 97.6% and 88.9% respectively. Conclusion The three indexes of AngⅡ, IMA and CRP in peripheral blood have good value in the prediction of VTE and are worthy of further promotion in clinic.

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王兆娜,安雪丽,刘利叶,罗玉贤.外周血血管紧张素Ⅱ、缺血修饰白蛋白及C反应蛋白对静脉血栓栓塞症的预测价值[J].中国动脉硬化杂志,2022,30(8):705~708.

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  • 收稿日期:2021-06-17
  • 最后修改日期:2022-05-02
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  • 在线发布日期: 2022-07-11