介入治疗AMI中慢(无)血流与高敏C反应蛋白的关系研究

The correlation of interventional therapy in acute myocardial infarction slow coronary flow or no-reflow and the high-sensitivity c-reactive protein

目的研究急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)治疗中的慢(无)血流与高敏C反应蛋白(Hs-CRP)的关系。方法对AMI患者常规行PCI治疗,根据术中是否出现慢血流分为慢血流组(A组)22例和无慢血流组(B组)70例,分析两者术前和术后的Hs-CRP变化情况。结果 A组PCI术后Hs-CRP为(39.89±4.4)mg·L-1,B组为(35.76±4.2)mg·L-1,A组Hs-CRP升高较B组明显(P<0.05)。结论 AMI的PCI术中慢(无)血流的发生与Hs-CRP的增高有明显的关系。

Objective To evaluate the correlation of the emergency percutaneous coronary intervention（ PCI） therapy in acute myocardial infarction with the slow flow and the high-sensitivity c-reactive protein（ Hs-CRP）. Methods According to whether intraoperative appearing slow blood flow,patients with acute myocardial infarction（ AMI） undergoing the conventional line PCI treatment were divided into slow（ not） blood flow group 22 cases and no slow blood flow group 70 cases. Both preoperative and postoperative Hs-CRP changes were analyzed. Results The Hs-CRP after PCI in slow blood flow（ not） group was significantly higher than that in less slow blood flow group. Conclusion The occurrence of slow blood flow is connected with the elevated Hs-CRP in AMI patients undergoing PCI.