cTnT和CAVI检测联合预测UAP预后的临床评价

Clinical evaluation of cTnT and CAVI combined detection in predicting the prognosis of UAP patient

目的探讨血清肌钙蛋白T(cTnT)、心-踝血管指数(CAVI)检测联合预测不稳定型心绞痛(UAP)患者预后的临床评价。方法对150例患者,包括36例非冠心病患者、54例稳定型心绞痛(SAP)和60例不稳定型心绞痛(UAP)患者分别进行血清cTnT、CAVI检测,并对60例UAP患者进行2年随访,观察心脏事件发生率。结果三组中UAP组血清cTnT、CAVI结果均高于非冠心病组和SAP组(P<0.05);在UAP组中,cTnT与CAVI均阳性患者心脏事件发生率也比单一阳性患者及均阴性患者高(P<0.05)。结论 cTnT和CAVI检测联合预测UAP的预后有更好的临床价值。

Obiective To discuss the clinical evaluation of cardiac troponin T（cTnT） and （cardio-ankle vascular index）CAVI combined detection to prediction the prognosis of UAP patient.Methods 150 patients, including 36 patients with non coronary heart disease, 54 patients with stable angina pectoris （SAP） and 60 patients with unstable angina pectoris（UAP）, were treated with cTnT and CAVI detection, 60 patients with unstable angina pectoris（UAP） were followed up for 2 years to observe the incidence of cardiac events.Results cTnT and CAVI were both higher in UAP group than that in non CHD group and SAP group（P〈0.05）. In UAP group, the cardiac event rate was higher in patients with cTnT and CAVI both positive than in patients with a single positive or both negative（P〈0.05）.Conclusion The clinical evaluation of cTnT and CAVI combined detection to prediction the prognosis of UAP patient is better.