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[1]李子杰,柴小奇.血尿酸对急性心肌梗死和不稳定型心绞痛的临床识别价值[J].宁夏医科大学学报,2018,(07):843-845.[doi:10.16050/j.cnki.issn1674-6309.2018.07.026]
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血尿酸对急性心肌梗死和不稳定型心绞痛的临床识别价值(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2018年07期
页码:
843-845
栏目:
经验交流
出版日期:
2018-07-30

文章信息/Info

Title:
-
文章编号:
1674-6309(2018)07-0843-04
作者:
李子杰 柴小奇
(陕西省汉中市中心医院心血管内科,汉中 723000)
Author(s):
-
关键词:
血尿酸高尿酸血症急性心肌梗死不稳定型心绞痛急性冠状动脉综合征
Keywords:
-
分类号:
R543.3
DOI:
10.16050/j.cnki.issn1674-6309.2018.07.026
文献标志码:
B
摘要:
目的 探讨血尿酸(serum uric acid,SUA)水平在合并高尿酸血症患者中急性心肌梗死(acute myocardial infraction,AMI)和不稳定型心绞痛(unstable angina pectoris,UAP)的差异性。方法 共190例AMI患者和186例UAP患者纳入本研究,患者平均年龄(54±19)岁。根据SUA水平将AMI和UAP患者分为高尿酸血症组和正常尿酸组,比较SUA水平在AMI和UAP患者中的差异性,分析SUA水平与心肌肌钙蛋白(cardiac troponin I,cTnI)的相关性。结果 AMI与UAP患者的SUA水平差异无统计学意义(P>0.05),AMI患者的cTnI水平高于UAP患者(P<0.05)。共有160例(42.6%)患者诊断为高尿酸血症,其中AMI患者的高尿酸血症检出率(47.9%)高于UAP患者(37.1%)(P<0.05)。高尿酸血症组中,AMI患者的SUA和cTnI水平高于UAP患者(P<0.05);在正常尿酸组中, AMI和UAP患者的SUA水平差异无统计学意义(P>0.05)。相关分析显示,高尿酸血症组的SUA水平与cTnI水平呈正相关(r=0.349,P=0.023),而在正常尿酸组的SUA水平与cTnI水平呈负相关(r=-0.301,P=0.039)。结论 SUA水平能够用于区分急性冠状动脉综合征(ACS)合并高尿酸血症的AMI和UAP亚型患者,可作为非特异性参数用于评估合并高尿酸血症的ACS患者的心肌损伤程度。
Abstract:
-

参考文献/References:


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备注/Memo

备注/Memo:
收稿日期:2017-10-15
作者简介:李子杰,男,硕士,主治医师,研究方向:心血管疾病。 E-mail:lzjie104@163.com
更新日期/Last Update: 2018-07-30