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妊娠相关蛋白A在急性冠脉综合征中的临床价值

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目的:探讨妊娠相关蛋白A(PAPP-A)在急性冠脉综合征(ACS)中的诊断价值.方法:选取2020年1月至2024年11月于我院就诊且资料完整的ACS患者共28例,选取非ACS就诊患者28例作为对照组.运用分析软件对两组CTnT、CK-MB、PAPP-A进行差异分析,并进行ACS患者与PAPP-A水平的相关性分析.结果:两组间年龄无明显差异,ACS组患者CTnT、CK-MB、PAPP-A水平明显高于对照组,差异有统计学意义(P<0.05).同时PAPP-A与CTnT相关性较强(r=0.673,P<0.05).ROC曲线提示PAPP-A联合CTnT及CK-MB检测曲线下面积更大.结论:血清PAPP-A可作为ACS患者的血清学标志物,对心肌酶谱阴性患者具有一定的诊断价值,PAPP-A联合CTnT及CK-MB检测对ACS患者诊断敏感性更高.
The Clinical Value of Pregnancy-associated Protein A in Patients with Acute Coronary Syndrome
Objective:To investigate the diagnostic value of pregnancy-related protein A(PAPP-A)in acute coronary syndrome(ACS).Methods:A total of 28 ACS patients who visited our hospital from January 2020 to November 2024 were complete,and 28 non-ACS patients were selected as the control group.Using the analysis software,CTnT,CK-MB,PAPP-A,and the correlation between patients with ACS and PAPP-A level.Results:There was no significant difference in age between the two groups.The levels of CTnT,CK-MB and PAPP-A in the ACS group were significantly higher than those in the control group(P<0.05).Meanwhile,PAPP-A was strongly correlated with CTnT(r=0.673,P<0.05).The ROC curve suggested that the area under the detection curve of PAPP-A combined with CTnT and CK-MB was larger.Conclusion:Serum PAPP-A can be used as a serological marker in patients with ACS and has certain diagnostic value in patients with negative myocardial enzyme spectrum,and PAPP-A combined with CTnT and CK-MB has higher diagnostic sensitivity in patients with ACS.

pregnancy-related protein Aacute coronary syndromemyocardial enzyme spectrumdiagnostic value

李海忠、邱丽君、蔡家骥、冼卓林、欧锦留

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广东省中山市博爱医院急诊科(528400)

广东省中山市博爱医院检验科(528400)

广东省中山市博爱医院产前诊断中心(528400)

妊娠相关蛋白A 急性冠脉综合征 心肌酶谱 诊断价值

2024

岭南急诊医学杂志
广东省医学会

岭南急诊医学杂志

影响因子:0.437
ISSN:1671-301X
年,卷(期):2024.29(6)