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肌酸激酶检测在心血管疾病诊断及治疗中的指导价值
引用本文:王启明,余成强,刘晓良. 肌酸激酶检测在心血管疾病诊断及治疗中的指导价值[J]. 临床医学研究与实践, 2021, 6(13): 99-101
作者姓名:王启明  余成强  刘晓良
作者单位:商洛市中心医院,陕西 商洛,726000
摘    要:目的 探讨肌酸激酶(CK)检测在心血管疾病诊断及治疗中的指导价值.方法 选择2017年1月至2019年12月在我院就诊的150例冠心病患者作为观察组,另选择在我院接受健康体检的100例健康志愿者作为对照组.采取随机数字表法将冠心病患者分为A组(75例)和B组(75例).A组在出现心绞痛症状后实施药物治疗,B组在尚未出现...

关 键 词:心血管疾病  冠心病  心肌酶谱  肌酸激酶

The guiding value of creatine kinase detection in the diagnosis and treatment of cardiovascular diseases
WANG Qiming,YU Chengqiang,LIU Xiaoliang. The guiding value of creatine kinase detection in the diagnosis and treatment of cardiovascular diseases[J]. Clinical Research and Practice, 2021, 6(13): 99-101
Authors:WANG Qiming  YU Chengqiang  LIU Xiaoliang
Affiliation:(Shangluo Central Hospital,Shangluo 726000,China)
Abstract:Objective To explore the guiding value of creatine kinase(CK)detection in the diagnosis and treatment of cardiovascular diseases.Methods A total of 150 patients with coronary heart disease treated in our hospital from January 2017 to December 2019 were selected as observation group,100 healthy volunteers who received physical examination in our hospital were selected as control group.According to the random number table method,patients with coronary heart disease were divided into group A(75 cases)and group B(75 cases).The patients in the group A were given drug treatment after angina pectoris,while the patients in the group B were given drug treatment immediately when they had elevated CK level but without angina pectoris.The levels of myocardial enzymes and blood lipids in the observation group and the control group were compared;the clinical efficacy,TIMI blood flow classification,myocardial enzymes and blood lipids in the group A and the group B were compared.Results The levels of CK,CK-MB,TC and TG in the observation group were higher than those in the control group(P<0.05).The total effective rate of treatment in the group B was 96.00%,which was higher than 85.33%in the group A(P<0.05).The proportion of grade 3 blood flow in the group B was higher than that in the group A(P<0.05).After treatment,the levels of CK,CK-MB,TC and TG in the two groups were significantly lower than those before treatment,and those in the group B were lower than the group A(P<0.05).Conclusion CK can play an auxiliary role in the diagnosis of coronary heart disease.It can treat patients with coronary heart disease according to the increase of CK in clinic,so as to improve the prognosis of patients.
Keywords:cardiovascular disease  coronary heart disease  myocardial zymogram  creatine kinase
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