血清高敏C反应蛋白与中老年不同类型冠心病的相关性研究

The Relationship between Serum High-Sensitivity C-Reactive Pretein and Coronary Heart Disease in Middle-Aged and the Elderly Patients

目的探讨血清 hs-CRP 与中老年不同类型冠心病（CHD）的相关性以及 hs-CRP 与 CHD 危险因素的相关性.方法将我院住院确诊为心绞痛及急性心肌梗死的中老年患者81例及中老年健康查体者86例分为正常对照组、隐匿性 CHD 组、SAP组、UAP 组、AMI 组.所有患者应用胶乳增强免疫透射比浊法测定空腹 hs-CRP 浓度.结果冠心病组 hs-CRP 水平为（4.12±3.26）mg/L,明显高于对照组（1.40±0.23）mg/L,差异有显著性（P 〈0.05）.单因素 Logistic 回归分析结果显示 hs-CRP 是不同类型CHD 发生的独立危险因素.结论 hs-CRP 是冠心病的独立危险因子.

Objective To investigate the relationship and significance between serum hs-CRP level and different coronary, heart disease in middle-aged cohorts and ehlerly patients,and to explore the interaction between hs-CRP and traditional risk factors. Methods A total of 81 Chinese middle-aged or ehterly patients definitely diagnosed with angina or acute myocardial infarction in cardiovascular medical ward,and 86 apparently healthy middle-aged cohorts or elderly people examined in nul-patien! in our hospital enrolled in ｜his study. Among the total：normal control group,insidious eotxmarv atheroselerotic heart disease（ syuq〉lomless myocar〈tial isehemia） , stable angina pecloris, un- stable angina peetor,acute myocardial infartion. All palients should be examined with hs-CRP;