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HS-CRP对低风险胸痛患者急性冠脉综合征的诊断作用

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摘要 目的:评估高敏C-反应蛋白(HS-CRP)对低风险胸痛患者急性冠脉综合征(ACS)的诊断作用。方法:2006年1月至2011年10月,对我院418例进行过HS-CRP检测的胸痛患者进行分析,其中低风险胸痛患者(心肌损伤标志物和心电图均未见异常)378例纳入本研究。通过临床病历收集数据进行统计学分析。结果:378例中包括197例女性患者和181例男性患者,男性患者的平均年龄为56岁,女性患者的平均年龄为55岁。被确诊为ACS的占14%(53/378)。ACS组患者的HS-CRP均值为(2.1±1.5)mg/L和非ACS组患者的HS-CRP均值为(2.2±1.2)mg/L。多元回归分析未显示hs-CRP水平与ACS诊断独立相关(OR=0.99;95%CI为0.98~1.02,P>0.05)。结论:HS-CRP的测量可能不能提高ACS诊断的准确性。
作者 肖静 易星航
出处 《广西医科大学学报》 CAS 2012年第5期732-734,共3页 Journal of Guangxi Medical University
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