心血管康复医学杂志2024,Vol.33Issue(6) :710-715.DOI:10.3969/j.issn.1008-0074.2024.06.12

miR-223、血小板参数及凝血指标与稳定型心绞痛的相关性及对其的预测价值

Association of miR-223,platelet parameters and coagulation indicators with stable angina pectoris and their predictive value for it

邢智 陈卓 高颖 帕丽达·阿布来提 李辉 沙吉旦·阿不都热衣木
心血管康复医学杂志2024,Vol.33Issue(6) :710-715.DOI:10.3969/j.issn.1008-0074.2024.06.12

miR-223、血小板参数及凝血指标与稳定型心绞痛的相关性及对其的预测价值

Association of miR-223,platelet parameters and coagulation indicators with stable angina pectoris and their predictive value for it

邢智 1陈卓 2高颖 1帕丽达·阿布来提 1李辉 1沙吉旦·阿不都热衣木1
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作者信息

  • 1. 新疆医科大学第一附属医院综合内三科,新疆乌鲁木齐 830011
  • 2. 新疆医科大学第二临床医学院
  • 折叠

摘要

目的:分析血清微小RNA(miR)-223水平、血小板参数及凝血指标与稳定型心绞痛(SAP)的相关性及对其的预测价值.方法:选择2019年1月至2021年1月新疆医科大学第一附属医院收治的150例SAP患者为SAP组,并选择150例非冠心病人群为对照组.比较两组miR-223、血小板参数及凝血指标水平,采用Spearman法分析上述指标与冠脉病变程度(Gensini评分)的相关性,ROC曲线分析miR-223、纤维蛋白原(Fg)对SAP的诊断价值.结果:与对照组比较,SAP组miR-223、纤维蛋白原、纤维蛋白原降解产物、D二聚体、血小板分布宽度水平显著升高,血小板计数水平显著降低(P<0.05或<0.01).Spearman相关性分析结果显示,纤维蛋白原、miR-223与冠状动脉病变严重程度呈正相关(r=0.228、0.269,P=0.013,0.001).ROC曲线分析结果显示,miR-223[曲线下面积(AUC)=0.851]、纤维蛋白原(AUC=0.692)对SAP有较好的预测价值.结论:血清miR-223、纤维蛋白原与冠脉病变严重程度相关,二者可作为稳定型心绞痛诊断、病情评估的参考指标.

Abstract

Objective:This study aims to analyze association of serum microRNA(miR)-223,platelet parameters and co-agulation indicators with stable angina pectoris(SAP)and their predictive value for it.Methods:A total of 150 SAP pa-tients admitted in First Affiliated Hospital of Xinjiang Medical University between January 2019 and January 2021 were en-rolled as SAP group,another 150 subjects without coronary heart disease were selected as control group.MiR-223,plate-let parameters and coagulation indicator levels were compared between two groups.Spearman method was used to analyze the association of above-mentioned indexes with severity of coronary artery disease(Gensini score),and ROC curve was used to analyze the diagnostic value of miR-223 and fibrinogen(Fg)for SAP.Results:Patients in SAP group had signifi-cant higher miR-223,Fg,Fg degradation products,D dimer and platelet distribution width,and significant lower platelet count compared to control group(P<0.05 or<0.01).Spearman correlation analysis indicated that Fg and miR-223 were positively correlated with severity of coronary artery disease(r=0.228,0.269,P=0.013,0.001).ROC curve a-nalysis showed that miR-223[area under the curve(AUC)=0.851]and Fg(AUC=0.692)had good predive value for SAP.Conclusion:Serum miR-223 and fibrinogen are associated with severity of coronary artery disease.They could be used as reference indexes for diagnosis and assessment of stable angina pectoris.

关键词

心绞痛,稳定型/微RNAs/纤维蛋白原

Key words

Angina,Stable/MicroRNAs/Fibrinogen

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出版年

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
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