超敏C反应蛋白联合平均血小板体积在非ST段抬高性心肌梗死诊断中价值和意义

探讨超敏C反应蛋白(hypersensitive C-reactive protein,hs-CRP)联合血小板平均体积(Meam platelet volume, MPV)在非ST段抬高性心肌梗死诊断中价值和意义。选取本院收治的50例非ST段抬高心肌梗死患者(NSTEMI)、50例急性ST段抬高性心肌梗死患者(STEMI)和50例不稳定型心绞痛患者(UA)。患者血清中hs-CRP和MPV的检出率在UA组、STEMI组和NSTEMI组中具有明显的差异,组间差异具有显著性(P＜0. 05)。在UA组、STEMI组和NSTEMI组中,hs-CRP和MPV的单项检出率明显低于两指标的联合检出率,组间差异具有显著性(P＜0. 05)。NSTEMI组患者体内cTnI与 hs-CRP、MPV呈明显正相关(r分别为0.47、0.39),差异具有统计学意义(P＜0.05 )。超敏C反应蛋白联合血小板平均体积可作为非ST段抬高性心肌梗死的重要诊断预测指标。

Effect of Hs-CRP Combined with MPV in the Diagnosis of Non-ST-elevation Myocardial Infarction

To explore the value and significance of hypersensitive c-reactive protein (hs-crp) combined with Meam platelet volume (MPV) in the diagnosis of non-st segment elevation myocardial infarction. Fifty non-st-segment elevation myocardial infarction patients (NSTEMI), 50 acute st-segment elevation myocardial infarction patients (STEMI) and 50 unstable angina patients (UA) were selected. The detection rates of hs-crp and MPV in serum of patients were significantly different in UA group, STEMI group and NSTEMI group, with significant difference between groups (P<0.05). In UA group, STEMI group and NSTEMI group, the single detection rate of hs-crp and MPV was significantly lower than the combined detection rate of the two indicators, and the difference between groups was significant (P<0.05). In the NSTEMI group, cTnI was positively correlated with hs-crp and MPV (r was 0.47 and 0.39 respectively), and the difference was statistically significant (P<0.05). Hypersensitive c-reactive protein combined with mean platelet volume can be used as an important diagnostic and predictive index for non-st segment elevation myocardial infarction.