目的 探讨超敏C反应蛋白(hs-CRP)对走过性心绞痛患者冠状动脉病变程度的预测价值.方法 选取我科住院治疗的走过性心绞患者95例为走过性心绞痛组,80例健康体检者为对照组.测定其血清hs-CRP水平,分析冠状动脉病变程度与血清hs-CRP水平的关系.结果 冠状动脉双支及三支血管病变的hs-CRP水平较单支血管病变高,分别为(10.23±3.34)mg/L、(15.18±4.25)mg/L和(7.45±2.76)mg/L,差异有统计学意义(P＜0.05).B型病变和C型病变组hs-CRP水平高于A型病变组,分别为(12.41±6.53)mg/L、(17.56±9.67)mg/L和(6.37±2.45)mg/L,差异有统计学意义(P＜0.05).结论 走过性心绞痛患者hs-CRP水平与冠状动脉病变程度有关.%Objective To evaluate the predictive value of high - sensitivity C - reactive protein ( hs - CRP ) in coronary disease patients with walk - through angina. Methods Serum hs - CRP level and its relationship to coronary artery lesions were analyzed in 95 patients with walk - through angina ( study group ) and 80 health subjects ( control group ). Results The hs - CRP level of coronary artery double and triple vessel disease was higher than that of single [ ( 10. 23 ±3. 34 ) mg/L, ( 15. 18 ± 4. 25 ) mg/L, ( 7. 45 ± 2. 76 ) mg/L ], the difference was significant ( P < 0. 05 ). Serum hs - CRP of Types B and C higher than that of Type A [ (12. 41 ±6. 53 ) mg/L, ( 17. 56 ±9. 67 ) mg/L, ( 6. 37 ±2. 45 ) mg/L], the difference was significant ( P <0. 05 ). Conclusion The hs - CRP level might be an important risk factor of coronary stenosis in walk - through angina patients.
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