血清C反应蛋白对不稳定型心绞痛患者预后考核的价值

目的观察探讨检测血清C反应蛋白(CRP)水平对评估不稳定型心绞痛患者预后的临床应用价值。方法选取该院2009年1月至2011年1月不稳定型心绞痛患者92例,皆在入院后接受常规内科治疗,根据入院后检测血清CRP水平分为A组(血清CRP高水平)52例和B组(血清CRP低水平)40例,观察对比两组患者入院后2周和随访6个月的心绞痛发作次数、远期心血管事件发生率。结果 A组患者入院后2周和随访6个月的心绞痛发作次数分别为(4.9±0.6)次和(13.7±1.4)次,明显高于B组患者,比较差异有统计学意义(P<0.05);A组入院后2周和随访6个月AMI发生率分别为30.8%和23.1%,明显高于B组,比较差异有统计学意义(P<0.05);A组入院后2周和随访6个月猝死率与B组比较差异无统计学意义(P>0.05)。结论检测血清CRP水平对评估不稳定型心绞痛患者预后有重要的临床应用价值。

Value of serum CRP in prognostic assessment of patients with unstable angina

Objective To investigate the clinical value of serum CRP levels to assess the prognosis of patients with unstable angina. Methods In our hospital from January 2009 to January 2011,92 cases of unstable angina pa- tients were given conventional medical treatment after admission, and they were divided into group A （serum CRP high level, n= 52） and group ]3 （serum CRP low level, n= 40）. The number of angina attacks and long-term cardio- vascular event rates of the patients were observed after two weeks and followed up for six months. Results The number of angina attacks of group A was significantly higher than that of group B patients, and the difference was significant （P〈0.05）. AMI incidence in group A was higher than that in group B,and the difference was significant （P〈0.05）. The death rate compared with group B was not significantly different （P~0.05）. Conclusion The serum CRP level has important clinical value in prognosis assessment of patients with unstable angina.