联合检测D-D、CTnI、CK-MB、Myo对急性冠脉综合征的意义

Combined detection of D-D,CTni,CK-MB,Myo in acute coronary syndrome

目的:探讨联合检测D-D、CTn-I、CK-MB、Myo对急性冠脉综合征的意义。方法:104例急性冠脉综合征(ACS)患者,出院后进行回顾性分析。其中急性心肌梗死(AMI)组54例,不稳定心绞痛(UA)组50例,于入院即刻采血,与同期正常对照组55例,分别进行D-D、CTn-I、CK-MB、Myo联合检测,观察以上指标的差异性。结果:AMI、UA与正常对照组比较,各项指标差异有统计学意义(P<0.05),AMI与UA组比较,各项指标差异仍有统计学意义(P<0.05)。结论:几种心脏标志物联合检测对急性冠脉综合征的早期诊断及临床分型以及预后的判断具有重要价值。

Objective To discuss on the combined detection of D - D, CTn I, CK - MB, Myo in acute coronal3, syn- drome. Method 104 patients with ACS were analyzed retrospectively after discharge from hospital. 54 cases in AMI group,50 cases in UA group had blood, simpling after admission instantly and had joint detection of D - D, CTnI, CK - MB, Myo with 55 cases of normal group in the same period. Index difference of observed several groups＇. Results AMI and UA compared with the nounal control group,all the indica- tors were significant （P 〈 0. 05 ）, AMI compared with group UA, each index still had significant difference （P 〈 0. 05 ） . Conclusion Several cardiac markers has important value to the early diagnosis and clinical classification and prognosis in acute coronary syndrome.