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2型糖尿病并发冠心病患者3项指标联合检测的临床价值 被引量:8

Clinical significance of combined detection of three indicators on type 2 diabetes mellitus patients with coronary heart disease
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摘要 目的探讨2型糖尿病合并冠心病患者糖化血红蛋白(HbA1C)、血清超敏C-反应蛋白(hs-CRP)及血浆D-二聚体(D-dimer)水平检测的临床价值。方法分别测定143例糖尿病(其中61例并发冠心病,82例无冠心病)患者HbA1C、hs-CRP、D-dimer水平,并与85例健康人作比较。结果 HbA1C、hs-CRP及D-dimer含量在健康对照、2型糖尿病患者以及合并冠心病患者组逐渐升高,差异有统计学意义(P<0.01,P<0.05),且在2型糖尿病及合并冠心病患者组中,三者呈正相关关系(P<0.05)。结论联合检测糖尿病患者HbA1C、hs-CRP和D-dimer水平的变化有利于观察病情,对评价疗效及预防冠心病等并发症具有重要的临床意义。 Objective To investigate the clinical value of hemoglobin A1c(HbA1C),high sensitivity C-reactive protein(hs-CRP) and D-Dimer levels in type 2 diabetes mellitus(T2DM)patients with coronary heart disease.Methods HbA1C,hs-CRP and D-dimer levels were measured in T2DM patients with CHD(n=61),T2DM patients without CHD(n=82) as well as 85 healthy people.Results The levels of HbA1C,hs-CRP and D-Dimer gradually increased in healthy control group,T2DM patient group and T2DM with CHD patient group(P〈0.01,P〈0.05),and there were positive relations among HbA1C,hs-CRP and D-dimer in T2DM and T2DM with CHD patient groups(P〈0.05).Conclusion Integrated detection of HbA1C,hs-CRP and D-dimer levels are associated with T2DM patients with coronary heart disease.Monitoring those levels might be helpful for the surveillance and outcome prediction.
作者 蒋舒娜 史梅
出处 《检验医学与临床》 CAS 2011年第9期1073-1074,共2页 Laboratory Medicine and Clinic
关键词 2型糖尿病 冠心病 糖化血红蛋白 超敏C-反应蛋白 D-二聚体 type 2 diabetes mellitus coronary heart disease HbA1C hs-CRP D-dimer
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  • 1Harsimran K,Singh AA,Guruvinder S,et a1.Plasma monocyte chemoattractant protein-1 as risk marker in type 2 diabetes mellitus and coronary artery disease in North Indians[J].Diab Vasc Dis Res,2009,6(4):288-290.
  • 2Wolf G,Ritz E.Diabetic nephropathy in type 2 diabetes prevention and patient management.[J].J Am Soc Nephrol,2003,14:1396-1405.
  • 3Purroy F,Montaner J,Molina CA,et a1.C-reactive protein prediets further ischemic events in transient ischemic attack patients[J].Acta Neurol Scand,2007,115(1):60-66.
  • 4Mullenix PS,Steele SR,Martin MJ,et a1.C-reactive protein level and traditional vascular risk factors in the prediction of carotid stenosis[J].Arch Surg,2007,142(11):1066-1071.
  • 5Pradban AD,Manson JE,Rifai N,et a1.C-reactive protein interleuk and risk of developing in type 2 diabetes mellitus[J].JAMA,2001,286(3):327-334.
  • 6Samama MM,Horellou MH,Elalamy I,et a1.D-dimer levels,connstitutional thrombophilia,and venous thrombosis prediction:clinical aspects and implications[J].Semin Vasc Med,2005,5(4):371-374.
  • 7Sadanaga T,Sadanaga M,Ogawa S.Evidence that D-dimer levels predict subsequent thromboembolic and cardiovascular events in patients with atrial fibrillation during oral anticoagulant therapy[J].J Am Coll Cardiol,2010,55(20):2225-2231.
  • 8Hayashi S.Significance of plasma D-dimer in relation to the severity of atherosclerosis among patients evaluated by non-invasive indices of cardio-ankle vascular index and carotid intima-media thickness[J].Int J Hematol,2010,92(1):76-82.
  • 9Matsuki A,Ishihara H,Kmani K,et a1.Clinical study of propofol in male volunteers[J].Masui,2003,52(2):135-142.

同被引文献55

  • 1史庆元,王秋月.不同尿白蛋白排泄率2型糖尿病患者尿白蛋白片段的变化[J].中国现代医学杂志,2006,16(5):716-719. 被引量:12
  • 2高润霖.遵循指南规范慢性稳定性心绞痛的诊断和治疗[J].中华心血管病杂志,2007,35(3):193-194. 被引量:75
  • 3周新,府伟灵.临床生物化学与检验[M].北京:人民卫生出版社,2008:435-451.
  • 4中华医学会糖尿病学分会.中国2型糖尿病防治指南(2010版)[M].北京:北京大学医学出版社,2011:1-4.
  • 5Wilkinson CP, Ferris FL,Klein RE, et al. Proposed internationalclinical diabetic retinopathy and diabetic macular edema disease se-verity scales[j]. Ophthalmology,2003,110(2) : 1677-1682.
  • 6Wolf G,Ritz E. Diabetic nephropathy in type 2 diabetes preven-tion and patient management[J]. J Am Soc Nephrol.2003,14(5):1396-1405.
  • 7Stratton IM, Adler AI,Neil A,et al. Association of glycaemia withmacmvascular and microvascular complications of type 2 diabetes.(UKPDS35) : prospective observational study[J]. BM J,2000,11(2):405-412.
  • 8王家良.临床流行病学[M].2版.上海:科学技术出版社,2001:267-268.
  • 9Tilg H,Moschen AR. Inflammatory mechanisms in the regulation of insulin resistance[J]. Mol Med,2008,14(3/4) 222 - 231.
  • 10All MK, Narayan KM, Tandon N. Diabetes and coronary heart dis case: Current perspectives[J]. Indian J Med Res, 2010,132 :584 - 597.

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