糖化血红蛋白检测在早期心肌损伤诊断中的价值

目的： 探讨糖化血红蛋白A1c（HbA1c）水平对早期心肌损伤诊断的临床价值以及HbA1c与超敏肌钙蛋白T（hs-cTnT）的相关性。方法： 选取397例早期心肌损伤患者检测其HbA1c，根据HbA1c水平分为HbA1c＜5.7%、5.7～6.4%、≥6.5% 3组，同时测定hs-cTnT，并作比较。结果： HbA1c≥6.5%组的hs-cTnT水平明显高于其他两组（P＜0.05），HbA1c水平与hs-cTnT呈正相关（r＝0.952 9，P＜0.05）。结论： 高HbA1c是心肌损伤的独立危险因素，与hs-cTnT呈正相关。

Value of detecting the glycosylated hemoglobin in early myocardial injury

Objective: To explore the value of detection of glycosylated hemoglobin A1c(HbA1c) for the patients with early myocardial injury and investigate the correlation between HbA1c and high sensitivity cardiac troponin T(hs cTnT). Methods HbA1c was measured in 397 subjects with early myocardial injury, according to level of HbA1c, patients were divided into HbA1c＜5.7% group, 5.7%-6.4% group and ≥6.5% group, at the same time , hs cTnT were determined. Results hs cTnT level in HbA1c≥6.5% group was significantly higher than in HbA1c＜5.7% group and 5.7%-6.4% group（P＜0.05）, HbA1c level was significantly positive correlated with hs cTnT（r＝0.952 9，P＜0.05）. Conclusion Higher HbA1c is the independent risk factor of myocardial injury and HbA1c was positive correlated with hs cTnT.