摘要
目的:评价降钙素原(PCT)对于急性冠脉综合征(ACS)预后判断的临床价值。方法:75例ACS患者,年龄40~80岁,平均(63.43±13.99)岁,男性46例,女性29例;分为ST段抬高型心肌梗死组(28例)、非ST段抬高型心肌梗死组(22例)和不稳定型心绞痛组(25例),记录其入院时以及入院后48h的血PCT水平;随访了解患者发生主要心血管不良事件(MACE)的情况并进行分析。结果:148h PCT值与1年内发生MACE的风险相关(P=0.017)。248h PCT值每增加一个单位,1年内发生MACE的风险增加2.871倍。结论:48h PCT水平升高与ACS患者1年内发生MACE的高风险相关,并成正比。
Objective: To evaluate procalcitonin (PCT) in acute coronary syndrome (ACS) clinical prognosis.Methods:75 cases of ACS patients, age 40~80 years old, average (63.43±13.99) years old, male 46 cases, female 29 cases; divided into ST segment elevation myocardial infarction group (28 cases), non ST segment elevation myocardial infarction group (22 cases) and unstable angina pectoris group (25 cases), recording its admission and after admission of 48h blood PCT level; follow up patients with major adverse cardiovascular events (MACE) and analysis of the situation.Results:①The 48h value of PCT,risk related to the occurrence of MACE and 1 years (P=0.017).②The 48h PCT value for each unit increase, the risk of MACE in 1 years increased by 2.871 times.Conclusion:the increase of 48h PCT levels are associated with high risk of ACS in patients with MACE during 1 years, and proportional.
出处
《中国医药导刊》
2015年第3期244-245,共2页
Chinese Journal of Medicinal Guide