【摘要ã€?/p>
目的:探讨充血性心力衰ç«?/p>
(Congestive heart failure
ï¼?/p>
CHF)
时血æ¸?/p>
C
�/p>
应蛋白(
CRP
)和肌钙蛋白
I
ï¼?/p>
troponin I
ï¼?/p>
cTnI
)异常的变化及其意义。方法:æ”?/p>
é›?/p>
CHF
患è€?/p>
60
例。其中心功能Ⅱ级、Ⅲ级、Ⅳ级各
20
例。同时选取
30
例健åº?/p>
人作为对照组。以化学免疫荧光法定量测定血æ¸?/p>
CRP
�/p>
cTnI
水平。结果:
CHF
患者血
CRP
å’?/p>
cTnI
水平明显高于对照组(
P<0 01
),心衰越重,其水平增高è¶?/p>
明显;不同程åº?/p>
CHF
患者,其组间差异性显著,呈正相关ï¼?/p>
P<0 01
ï¼?/p>
r=0
735
)�/p>
CHF
纠正后,血
CRP
å’?/p>
cTnI
水平明显下降ï¼?/p>
P<0 01
)。结论:
CHF
æ‚?/p>
者血
CRP
å’?/p>
cTnI
变化ä¸?/p>
CHF
严重程度密切相关;而且
CRP
å’?/p>
cTnI
水平呈正ç›?/p>
关ã€?/p>
【关键词ã€?/p>
心力衰竭,充血性;
C
反应蛋白质;肌钙蛋白
I
Abnormal changes of C|reactive protein and troponin I in congestive heart failure/HE
Jun,Tong Xin//Chinese Journal of Cardiovascular Rehabilitation
Medicine,2007,16(2):145
Abstract
ï¼?/p>
Objective:To investigate the change of C reactive protein and troponin I in
congestive heart failure.Methods:The 60 CHF patients were divided three groups
according to the degree of heart failure Serum levels of CRP and cTnI were measured
by chemical fluorescence immunosorbant.Results:In CHF patients,the level of serum
CRP and cTnI were higher than those of control group
ï¼?/p>
P<0 01
ï¼?/p>
In severe patients
ï¼?/p>
the change of CRP and cTnI was higher than the mild patients. There was a positive
correlation between level of CRP and cTnI
ï¼?/p>
r=0 735,P<0 01
ï¼?/p>
in CHF patients.After
CHF improvement
ï¼?/p>
the serum CRP and serum cTnI decreased
ï¼?/p>
P<0
01
ï¼?/p>
.Conclusion:The level of serum CRP is positive correlated with cTnI level in
congestive heart failure.
Aut
hor′s address
ï¼?/p>
Department of Emergency
ï¼?/p>
Shenzhou Hospital of Shenyang
Medical College,Shenyang
ï¼?/p>
Liaoning
ï¼?/p>
110002,China
Key words
ï¼?/p>
Heart failure
ï¼?/p>
congestive; C|reactive protein; Troponin I
近年来,细胞
因子在充血性心力衰竭(
CHF
)的病理生理中的作用逐渐受到重视,被认为是导
致心力衰竭进展的重要因素。本研究通过å¯?/p>
CHF
患者及健康对照者同时进行的
血
C
反应蛋白ï¼?/p>
CRP
)和肌钙蛋白
I(cTnI)
测定,探讨血
CRP
å’?/p>
cTnI
两者的è�?/p>
系,进一步说明对
CHF
患者同时进行血
CRP
å’?/p>
cTnI
测定的临床价值ã€?/p>
1
资料与方æ³?/p>
1 1
一般资æ–?/p>
2004
å¹?/p>
6
月至
2005
å¹?/p>
12
月在我院住院çš?/p>
CHF
患è€?/p>
60
例,其中ç”?/p>
27
例,å¥?/p>
33
例,年龄
41~83
,平均(
60 1±
10 9
)岁,体é‡?/p>
56~81 kg
,均符合
Framingham
的诊断标准,其中冠心ç—?/p>
40
例,扩张型心肌病
5
例,风心ç—?/p>
6
例,
高血压心脏病
9
例。入选前
2
周未接受血管紧张素转换酶抑制剂、血管紧张素â…?