首页|STEMI患者超敏C反应蛋白水平与TIMI血流分级及Gensini评分的关系

STEMI患者超敏C反应蛋白水平与TIMI血流分级及Gensini评分的关系

Relationship Between High-sensitivity C-reactive Protein Level and TIMI Blood Flow Grading and Gensini Score in STEMI Patients

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目的 探讨急性ST段抬高型心肌梗死(STEMI)患者的超敏C反应蛋白水平与TIMI血流分级及Gensini评分的关系.方法 收集2021年1-12月巴彦淖尔市医院行急诊PCI治疗的STEMI患者288例,根据TIMI血流分级及Gensini评分将研究对象分为A组(TIMI 0~1级186例)和B组(TIMI 2~3级102例)、轻度组(Gensini评分≤81分145例)和重度组(Gensini评分>81分143例),比较临床资料,分析hs-CRP水平与STEMI患者PCI术前冠脉血流分级降低及冠状动脉病变程度相关性.结果 TIMI 2~3级患者的hs-CRP水平明显低于TIMI 0~1级患者(P=0.01),且Spearman相关系数法分析结果显示血清hs-CRP与术前TIMI血流呈显著负相关(r=-0.174,P<0.01),多因素回归分析的结果表明,hs-CRP是TIMI血流降低的危险因素(OR=0.819,95%CI:0.683~0.982,P<0.05),提示hs-CRP是术前TIMI血流降低的预测因子.轻度组血清hs-CRP水平小于重度组(P<0.05),且Spearman相关系数法分析结果显示hs-CRP与STEMI患者Gensini评分呈正相关(r=0.140,P=0.017),表明患者hs-CRP水平越高,Gensini评分越高.结论 本研究发现hs-CRP水平与STEMI患者术前TIMI血流降低及Gensini评分有显著相关性.
Objective To investigate the relationship between high-sensitivity C-reactive protein level and TIMI blood flow grading and Gensini score in STEMI patients.Methods A total of 288 STEMI patients who underwent emergency PCI in Bayannur City Hospital from January 2021 to December 2021 were collected,and the study subjects were divided into Group A(TIMI grade 0-1 186 cases)and Group B(TIMI grade 2-3102 cases),mild(Gensini score≤81 145 cases)and severe(Gensini score>81 points 143 cases),respectively,compared the clinical data of patients in the two groups and analyze the correlation between hs-CRP levels and pre-PCI coronary flow grade reduction and degree of coronary artery disease in STEMI patients.Results The hs-CRP levels of patients with TIMI grades 2-3 were significantly lower than those of patients with TIMI grades 0-1(P=0.01),and the results of the Spearman correlation coefficient method showed a significant negative correlation between serum hs-CRP and preoperative TIMI blood flow(r=-0.174,P<0.01),and the results of the multifactorial regression analysis indicated that hs-CRP was a TIMI blood flow risk factor for decreased TIMI blood flow(OR=0.819,95%CI:0.683-0.982,P<0.05),suggesting that hs-CRP was a predictor of decreased preoperative TIMI blood flow.In addition,the level of serum hs-CRP in patients in the mild group was smaller than that in patients in the severe group(P<0.05),and the results of Spearman's cor-relation coefficient method analysis showed a positive correlation between hs-CRP and Gensini scores of patients with STEMI(r=0.140,P=0.017),which indicated that the higher the level of hs-CRP in the patients,the higher the Gensini scores were.Conclusion In this study,we found a significant correlation between hs-CRP levels and preoperative TIMI blood flow reduction and Gensini score in STEMI patients.

acute ST-segment elevation myocardial infarctionhigh-sensitiVity C-reactive proteinTI-MI blood flow gradinggensini score

萨如拉、高雯、周志宏

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内蒙古科技大学包头医学院,内蒙古包头 014000

巴彦淖尔市医院,内蒙古巴彦淖尔 015000

急性ST段抬高型心肌梗死 超敏C反应蛋白 心肌梗死溶栓血流分级 Gensini评分

巴彦淖尔市医院院内科研项目计划任务

2022004

2024

内蒙古医学杂志
内蒙古自治区医学会

内蒙古医学杂志

影响因子:0.537
ISSN:1004-0951
年,卷(期):2024.56(7)
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