急性心肌梗死患者血中C-反应蛋白、纤维蛋白原、白细胞计数和血脂的变化

目的：探讨C－反应蛋白（CRP）在急性心肌梗死（AMI）发病中的变化。方法：根据AMI的发作时间,将入选的89例AMI患者分为3组,A组（n=31,胸痛的时间＜6h),B组（n=36,胸痛的时间6－12h),C组（n=22,胸痛的时间＞12h),入选患者测定其血CRP,纤维蛋白原（FIB）,白细胞计数（WBC）,血脂等水平,结果：AMI和正常对照组之间的血脂水平相比无显著性差异（P＞0．05）,AMI患者CRP,FIB,WBC与正常对照组有极显著性差异（P＜0．01）,AMI中期患者CRP的阳性率高于早期和晚期,结论：急性心肌梗死与炎症反应相关。

The Changes of C-reactive Protein,Fibrinogen,White Blood Cell Count and Serum Lipids of Patients with Acute Myocardial Infarction

Objective:To investigate the relationship between the C reactive protein and acute myocardial infarction (AMI).Methods:Total 89 of the patients with AMI,according to the time of onset,were divided into three groups,A group ( n =31,<6h),B group ( n =36,6~12h) and C group ( n =22,>12h).C reactive protein,fibrinogen,white blood cell count and serum lipid were measured in all patients.Results:There was no significant difference in the serum lipid level between AMI group and the control group ( P >0.05).The levels of C reactive protein,fibrinogen and white blood cell count in AMI group were higher than those in the control group ( P <0.01).The levels of CRP in B group was significantly high than that in A group and B group.Conclusion:The result suggests that AMI correlated with inflammation response.