非瓣膜性心房颤动与超敏C反应蛋白水平的关系观察

    Correlation between nonvalvular atrial fibrillation and serum high-sensitivity C reactivity protein

    • 摘要: 目的: 探讨超敏C反应蛋白(high-sensitivity C reactivity protein,hs-CRP)与非瓣膜性心房颤动(AF)之间的关系。方法: 将非瓣膜性AF患者61例分为2组,阵发性AF 30例,持续性AF 31例;另选择窦性心律患者31例为对照组。采用乳胶免疫比浊法测定各组患者的血清hs-CRP水平,同时测量各患者的左心房前后径。结果: 对照组、阵发性AF组和持续性AF组血清hs-CRP水平依次升高、左心房前后径(LAD)依次增大,差异均有统计学意义(P < 0.05~P < 0.01),入选患者的血清hs-CRP水平与LAD增大呈正相关关系(P < 0.05)。结论: hs-CRP在AF患者中明显升高,在AF的发生和维持中起一定的作用。

       

      Abstract: Objective: To explore the correlation between high-sensitivity C reactivity protein (hs-CRP) and atrial fibrillation. Methods: Sixty-one patients with nonvalvular atrial fibrillation were divided into two groups:paroxysmal atrial fibrillation(PAF) group (30 cases) and subtained atrial fibrillation (SAF) and control group(the other 31 cases with sinus rhythm acted). The serum hs-CRP levels and the left atrial internal diameter of all the cases were measured by immunochemistry method and echocardiography. Results: The hs-CRP level of PAF group and SAF group was significantly higher than that of the control (P < 0.05 to P < 0.01); the serum hsCRP level and the left atrial internal diameter of SAF group were significantly higher than that of PAF group(P < 0.01),and the serum hs-CRP level was positively related with the left atrial internal diameter(P < 0.05). Conclusions: The level of serum hs-CRP increases significantly in patients with atrial fibrillation, which indicaates that the inflammatory reation may promote the occurrence and maintenance of atrial fibrillation.

       

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