首页|血清TRIB3、STOX1水平对冠心病患者PCI术后预后的预测价值

血清TRIB3、STOX1水平对冠心病患者PCI术后预后的预测价值

Predictive value of serum TRIB3 and STOX1 levels for prognosis in patients with coronary heart disease after PCI

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目的:探究血清假激酶3(TRIB3)、10号染色体上的开放阅读框24(STOX1)水平对冠心病患者经皮冠脉介入术(PCI)后预后的预测价值.方法:选择大冶市人民医院2019年5月~2022年8月行PCI的116例冠心病患者作为冠心病组,选择同期在我院体检的95例健康志愿者作为对照组.冠心病组患者根据术后3个月内是否发生主要不良心血管事件(MACE)被分为MACE组(21例)与无MACE组(95例).采用酶联免疫吸附法(ELISA)检测血清TRIB3、STOX1水平;多因素Logistic回归分析冠心病患者PCI术后预后不良的影响因素;受试者工作特征(ROC)曲线分析血清TRIB3、STOX1对冠心病患者PCI术后预后不良的预测价值.结果:与对照组相比,冠心病组血清TRIB3、STOX1水平均显著升高(P均<0.001).与无MACE组相比,MACE组患者血清TRIB3[(9.65±1.27)ng/ml 比(12.04±1.64)ng/ml]、STOX1[(16.06±1.54)ng/ml 比(18.21±1.78)ng/ml]水平均显著升高(P均<0.001).多因素Logistic回归分析显示,血清TRIB3、STOX1水平是冠心病患者PCI术后发生MACE的独立危险因素(OR=3.859、2.159,P均<0.001).ROC曲线分析显示,血清TRIB3、STOX1联合检测[曲线下面积(AUC)=0.916]对冠心病患者PCI术后预后不良的预测价值高于单项检测(AUC=0.837、0.776).结论:发生MACE的PCI术后冠心病患者血清TRIB3、STOX1水平显著上升,二者联合可较好地预测此类患者的预后.
Objective:To investigate the predictive value of serum levels of tribbles pseudokinase 3(TRIB3)and storkhead box 1(STOX1)for prognosis in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:A total of 116 CHD patients undergoing PCI in Daye People's Hospital between May 2019 and August 2022 were enrolled as CHD group,another 95 healthy volunteers undergoing physical examination in our hospital simultaneously were selected as control group.According to presence of major adverse cardiovascular events(MACE)within 3 months after PCI,CHD group was divided into MACE group(n=21)and no MACE group(n=95).Enzyme-linked immunosorbent assay(ELISA)was used to measure serum TRIB3 and STOX1 levels;multivariate Logistic regression was used to analyze influencing factors of poor prognosis in CHD patients after PCI;receiver operating characteristic(ROC)curve was used to analyze predictive value of serum TRIB3 and STOX1 for poor prognosis in CHD patients after PCI.Results:Compared with participants in control group,those in CHD group had significant higher serum TRIB3 and STOX1 levels(P<0.001 all).Compared with participants in no MACE group,those in MACE group had significant higher serum levels of TRIB3[(9.65±1.27)ng/ml vs.(12.04±1.64)ng/ml]and STOX1[(16.06±1.54)ng/ml vs.(18.21±1.78)ng/ml](P<0.001 all).Multivariate Lo-gistic regression showed that serum TRIB3 and STOX1 levels were independent risk factors for MACE in CHD pa-tients after PCI(OR=3.859,2.159,P<0.001 both).ROC analysis indicated that combined detection of serum TRIB3 and STOX1(area under the curve(AUC)=0.916)had higher predictive value for poor prognosis in CHD patients after PCI compared to those of single detection(AUC=0.837,0.776).Conclusion:Serum levels of TRIB3 and STOX1 significantly increase in CHD patients after PCI suffering from MACE,and the combination of both can better predict the prognosis of these patients.

Coronary diseaseAngioplasty,Balloon,CoronaryTribbles pseudokinase 3Prognosis

张琳、陈青松、冯广红、朱中华、张茂海

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大冶市人民医院检验科,湖北 黄石 435100

武汉大学中南医院检验科

冠心病 血管成形术,气囊,冠状动脉 假激酶3 预后

2024

心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
年,卷(期):2024.33(6)