蚌埠医学院学报2024,Vol.49Issue(8) :1025-1029.DOI:10.13898/j.cnki.issn.1000-2200.2024.08.009

2型糖尿病合并急性冠状动脉综合征病人C反应蛋白与白蛋白比值同冠状动脉病变程度的相关性

Correlation between the ratio of C reactive protein to albumin and the degree of coronary artery disease in patients with type 2 diabetes mellitus and acute coronary syndrome

张万宜
蚌埠医学院学报2024,Vol.49Issue(8) :1025-1029.DOI:10.13898/j.cnki.issn.1000-2200.2024.08.009

2型糖尿病合并急性冠状动脉综合征病人C反应蛋白与白蛋白比值同冠状动脉病变程度的相关性

Correlation between the ratio of C reactive protein to albumin and the degree of coronary artery disease in patients with type 2 diabetes mellitus and acute coronary syndrome

张万宜1
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作者信息

  • 1. 皖西卫生职业学院附属医院 心血管内科,安徽 六安237008
  • 折叠

摘要

目的:探讨2型糖尿病合并急性冠状动脉综合征病人C反应蛋白(CRP)与白蛋白(ALB)比值同冠状动脉病变程度的相关性.方法:选取2型糖尿病合并急性冠状动脉综合征病人90例作为观察组,另选取同期2型糖尿病病人90例作为对照组,对比2组病人的临床资料,分析2型糖尿病合并急性冠状动脉综合征病人冠状动脉病变程度的影响因素,采用Pearson相关性分析CRP/ALB与2型糖尿病合并急性冠状动脉综合征病人冠状动脉病变程度的相关性.结果:观察组病人CRP、CRP/ALB高于对照组(P<0.01),而ALB则低于对照组(P<0.01).单因素分析结果显示,观察组中轻度组与中重度组病人CRP、ALB、CRP/ALB、血糖控制、高血压及高血脂等差异有统计学意义(P<0.01).logistic回归分析结果显示,CRP、ALB、CRP/ALB、血糖控制不佳、高血压及高血脂等为2型糖尿病合并急性冠状动脉综合征病人中重度冠状动脉病变的危险因素(P<0.05).Pearson相关性分析结果显示,CRP、CRP/ALB与2型糖尿病合并急性冠状动脉综合征病人冠状动脉病变程度呈正相关关系(P<0.01),ALB与其冠状动脉病变程度呈负相关关系(P<0.01).结论:CRP/ALB与2型糖尿病合并急性冠状动脉综合征病人冠状动脉病变程度密切相关,其能够较好地反映病人冠状动脉病变程度.

Abstract

Objective:To investigate the relationship between the ratio of C reactive protein (CRP) to albumin (ALB) and the severity of coronary artery disease in patients with type 2 diabetes mellitus complicated with acute coronary syndrome.Methods:A total of 90 cases of type 2 diabetes mellitus patients with acute coronary syndrome were selected as the observation group,and 90 cases of type 2 diabetes mellitus patients in the same period were selected as the control group.The clinical data of the two groups were compared,and the influencing factors of the degree of coronary artery disease in type 2 diabetes mellitus patients with acute coronary syndrome were analyzed.Pearson correlation analysis was used to analyze the correlation between CRP/ALB and the degree of coronary artery disease in type 2 diabetes mellitus patients with acute coronary syndrome.Results:The CRP and CRP/ALB levels in the observation group were higher than those in the control group (P<0.01),while ALB levels were lower than those in the control group (P<0.01).The results of univariate analysis showed that there were statistically significant differences in CRP,ALB,CRP/ALB,blood glucose control,hypertension,and hyperlipidemia between the moderate to severe groups of patients in the observation group (P<0.01).Logistic regression analysis showed that CRP,ALB,CRP/ALB,poor blood glucose control,hypertension and hyperlipidemia were risk factors for moderate to severe coronary artery disease in patients with type 2 diabetes mellitus complicated with acute coronary syndrome (P<0.05).Pearson correlation analysis showed that CRP,CRP/ALB were positively correlated with the severity of coronary artery disease in type 2 diabetes mellitus patients with acute coronary syndrome (P<0.01),and ALB was negatively correlated with the severity of coronary artery disease in type 2 diabetes mellitus patients with acute coronary syndrome (P<0.01).Conclusions:CRP/ALB is closely related to the severity of coronary artery disease in patients with type 2 diabetes mellitus complicated with acute coronary syndrome,and it can better reflect the severity of coronary artery disease.

关键词

2型糖尿病/急性冠状动脉综合征/C反应蛋白与白蛋白比值/冠状动脉病变程度

Key words

type 2 diabetes mellitus/acute coronary syndrome/C reactive protein to albumin ratio/degree of coronary artery disease

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出版年

2024
蚌埠医学院学报
蚌埠医学院

蚌埠医学院学报

CSTPCD
影响因子:0.917
ISSN:1000-2200
参考文献量20
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