慢性病学杂志2023,Vol.24Issue(9) :1298-1301.DOI:10.16440/J.CNKI.1674-8166.2023.09.04

血清胱抑素C与血清肌酐的相关性及在心力衰竭患者预后中的应用

Correlation between serum cystatin C and serum creatinine and its clinical use in the prognosis of heart failure patients

潘海彦 陈丹 张志连 陈杰 潘荣全 冼观秀
慢性病学杂志2023,Vol.24Issue(9) :1298-1301.DOI:10.16440/J.CNKI.1674-8166.2023.09.04

血清胱抑素C与血清肌酐的相关性及在心力衰竭患者预后中的应用

Correlation between serum cystatin C and serum creatinine and its clinical use in the prognosis of heart failure patients

潘海彦 1陈丹 1张志连 1陈杰 1潘荣全 1冼观秀2
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作者信息

  • 1. 湛江中心人民医院心内科,广东 524000
  • 2. 湛江中心人民医院检验科
  • 折叠

摘要

目的 探讨血清胱抑素C(cystatinC,CysC)与血清肌酐的相关性及在心力衰竭患者预后中的应用效果.方法 选择2021年5月至2023年4月湛江中心人民医院收治的120例心力衰竭患者,根据CysC水平分为A组41例,B组40例,C组39例.比较三组血清肌酐、CysC水平、左室射血分数(left ventricular ejection fraction,LVEF),并分析血清CysC与肌酐的相关性;比较不同心功能分级患者血清肌酐、CysC水平,并统计三组心血管事件发生率、3个月内再入院率与3个月死亡率.结果 A组肌酐、CysC检测值低于B组和C组,LVEF高于B组和C组,而B组肌酐、CysC检测值低于C组,LVEF高于C组,差异有统计学意义(P<0.05);血清CysC与肌酐水平呈正相关性(P<0.05);随着心功能分级增加血清肌酐、CysC水平逐渐升高,差异有统计学意义(P<0.05);A组、B组心血管事件发生率、3个月内再入院率均低于C组,且A组心血管事件发生率、3个月内再入院率低于B组,差异有统计学意义(P<0.05).本次参与研究的对象未发生3个月死亡事件.结论 血清CysC可良好的反映心力衰竭患者肾功能与心功能损害情况,其水平增高会影响患者预后.

Abstract

Objective To explore the correlation between serum Cystatin C(CysC)and serum creatinine and the clinical application effect in the prognosis of heart failure patients.Methods 120 heart failure patients admitted to Zhanjiang Central People's Hospital from May 2021 to April 2023 were selected and divided into 41 cases in group A,40 cases in group B and 39 cases in group C according to CysC levels.We compared the serum creatinine,CysC level,left ventricular ejection fraction(LVEF)and analyzed the correlation between serum CysC and creatinine in the three groups;we compared the serum creatinine and CysC levels in pa-tients with different cardiac function classifications and counted the incidence rate of cardiovascular events,the rate of readmission within 3 months and the 3-month mortality rate in the three groups.Results Group A had lower creatinine and CysC values than groups B and C,and higher LVEF than group B and gruop C,while group B had lower creatinine and CysC values than group C,and higher LVEF than group C,with statistically significant differences(P<0.05).Theserum CysC and creatinine levels were positively correlated(P<0.05).The serum creatinine and CysC levels gradually increased with the increase of cardiac function grading,with statistically significant differences(P<0.05).There is a statistically significant differ-ence(P<0.05).The cardiovascular event rate,readmission rate within 3 months of group A,group B were lower than group C,and cardiovascular event rate,readmission rate within 3 months of group A were lower than group B,the difference is statistically significant(P<0.05).The subject of the current participa-tion in the study did not occur in the 3-month deaths of the patients.Conclusion Serum CysC can be a good reflection of renal and cardiac function impairment in patients with heart failure,and its increased level will affect the prognosis of patients.

关键词

心力衰竭/胱抑素C/肌酐/相关性/预后

Key words

Heart failure/Cystatin C/Creatinine/Correlation/Prognosis

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基金项目

湛江市科技计划项目(2021B01115)

出版年

2023
慢性病学杂志

慢性病学杂志

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参考文献量12
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