NSTEACS患者高敏C反应蛋白、血清高迁移率族蛋白1和细胞间黏附分子1与GRACE评分的相关性
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Relationship Between High-sensitivity C-reactive Protein, High Mobility Group Box-1 Protein and Intercellular Adhesion Molecule-1 with GRACE Score in NSTEACS Patients
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    目的 通过观察非ST段抬高型急性冠状动脉综合征(NSTEACS)患者高敏C反应蛋白、血清高迁移率族蛋白1、细胞间黏附分子1与GRACE评分之间的关系,评价高敏C反应蛋白、血清高迁移率族蛋白1以及细胞间黏附分子1在评估NSTEACS患者危险程度中的应用价值。方法 随机选择NSTEACS患者进行GRACE评分,评分≤108分为低危组,109~140分为中危组,>140分为高危组;随机选择冠状动脉造影阴性志愿者为对照组。检测各组血清中高敏C反应蛋白、血清高迁移率族蛋白1、细胞间黏附分子1的浓度,比较高、中、低危组与对照组中各指标的差异,同时分析各项指标与GRACE评分之间的相关性。结果 低危组、中危组、高危组及对照组之间高敏C反应蛋白、血清高迁移率族蛋白1、细胞间黏附分子1浓度两两相比都有显著性差异;相关分析发现高敏C反应蛋白、血清高迁移率族蛋白1、细胞间黏附分子1浓度与GRACE评分之间存在显著正相关(r分别为0.498、0.561、0.526)。结论 非ST段抬高型急性冠状动脉综合征患者高敏C反应蛋白、血清高迁移率族蛋白1、细胞间黏附分子1与GRACE评分有密切关系,高敏C反应蛋白、血清高迁移率族蛋白1、细胞间黏附分子1在评估NSTEACS患者危险程度中有一定的应用价值。

    Abstract:

    Aim To observe relationship between high-sensitivity C-reactive protein (hs-CRP),high mobility group box-1 protein (HMGB1) and intercellular adhesion molecule-1 (ICAM1) with GRACE score,and to clarify the value of hs-CRP,HMGB1 and ICAM1 in estimating the criticality of non-ST segment elevation acute coronary syndrome (NSTEACS) patients.Methods According to the GRACE score NSTEACS patients were divided into different groups: risk group (≤108 scores),middle risk group (109~140 scores),high risk group (>140 scores),and 20 volunteers negative in coronary angiography (CAG) were as the control group. The levels of hs-CRP,HMGB1,ICAM1 in each group were detected,and the indexes were compared among various groups. Relationship between the indexes and GRACE score was analyzed.Results The levels of hs-CRP,HMGB1,ICAM1 in four groups were significantly different from each other. At the same time,hs-CRP,HMGB1,ICAM1 have significantly positive relationship with GRACE score (r=0.498,0.561,0.526). Conclusion hs-CRP,HMGB1,ICAM1 have intimate connection with GRACE score,and have practical value in estimating the criticality of NSTEACS patients.

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章若涵,李春艳. NSTEACS患者高敏C反应蛋白、血清高迁移率族蛋白1和细胞间黏附分子1与GRACE评分的相关性[J].中国动脉硬化杂志,2015,23(05):519~521.

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  • 收稿日期:2014-04-21
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