首页|骨桥蛋白与胱抑素C联合检测对冠心病诊断的评价

骨桥蛋白与胱抑素C联合检测对冠心病诊断的评价

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目的:探讨骨桥蛋白(OPN)与胱抑素 C(Cys-C)检测对冠心病的诊断价值。方法:以我院就诊148 例行冠脉造影患者为研究对象,收集临床资料,按疾病分组,对血清OPN与Cys-C含量进行测定。结果:Logistic回归分析显示 OPN 与 Cys-C 能独立预测冠心病(CHD)。ROC 曲线显示,OPN 与Cys-C对CHD具有诊断价值,当两指标联合时,诊断CHD的曲线下面积(AUC)为0。830,灵敏度为 76。42%,特异性为81。16%。比较不同疾病间 OPN 与 Cys-C 含量显示,OPN 在不稳定心绞痛(UAP)组显著高于稳定心绞痛(SAP)组,显著低于急性心肌梗死(AMI)组(P<0。05)。Cys-C 含量在 AMI 组、UAP组和SAP 组相比无统计学差异(P>0。05)。结论:OPN 与 Cys-C 具有对 CHD 的诊断价值,动态检测OPN对疾病的监测有一定帮助。
Evaluation of Combination of Osteopontin and Cystatin C in Diagnosis of Coronary Heart Disease
Objective:To evaluate the combination of osteopontin and cystatin C in diagnosis of coronary heart disease.Methods:Serum levels of OPN and Cys-C were measured in 148 patients who underwent coro-nary angiography in our hospital.These patients were grouped according to the diseases they had and clinical data of them were collected.Results:Logistic regression analysis showed that OPN and Cys-c could inde-pendently predict CHD.ROC curve showed that the AUC of osteopontin combined with cystatin C in the diag-nosis of CHD was 0.830,the sensitivity was 76.42%,and the specificity was 81.16%.The results of com-parison of OPN and Cys-c levels between different groups showed OPN level was significantly higher in the UAP group than that in SAP group,but significantly lower than that in the AMI group.The level of Cys-c in-creased in UAP group compared with that in SAP group and the level of Cys-c decreased in AMI group com-pared with that in UAP group(P<0.05).But the changes of Cys-c in different groups were not statistically significant(P>0.05).Conclusion:Our study demonstrated OPN and Cys-c have diagnostic values for CHD,and dynamic detections of OPN and Cys-c are helpful for disease monitoring.

OsteopontinCystatin CCoronary heart diseaseDiagnostic markerSerum

孙启天、薛婷匀、闫贞蓉、徐李文静、孙启玉

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承德医学院附属医院, 河北 承德 067000

骨桥蛋白 胱抑素C 冠心病 诊断标志物 血清

河北省卫健委科技计划项目

20231399

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(2)
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