冠心病患者血纤维蛋白原和尿酸水平变化的研究

    Relationship between change of plasma fibrinogen level and uric acid in patients with coronary heart disease

    • 摘要: 目的: 探讨冠心病(coronary heart disease,CHD)患者血纤维蛋白原(Fg)和尿酸(UA)水平变化及其与冠心病病变程度的关系。方法: 71例CHD患者组(其中Gensini积分轻度组24例,中度组18例,重度组29例)与29名正常对照组,采集静脉血检测血浆Fg、UA等水平,并经统计学处理。结果: CHD组血浆Fg (4.11±0.84) g/L、UA (362.89±155.50)μmol/L均较正常对照组Fg (3.03±0.34) g/L、UA (290.07±93.80)μmol/L显著升高(P<0.001和P<0.01);并且按Gensini积分分组后各不同冠脉病变组Fg和重度病变组尿酸水平均高于对照组(P<0.05~P<0.01),且重度病变组血Fg高于轻度组(P<0.05)。结论: 血Fg和UA在冠心病的发病机制中可能起一定作用,可作为反映冠心病病变的参考指标。

       

      Abstract: Objective: To explore the relationship between change of plasma fibrinogen(Fg)and uric acid(UA)level in patients with coronary heart disease.Methods: The levels of plasma Fg and UA were measured in 71 patients with coronary heart disease(CHD),and compared with 29 normal subjects.Results: Plasma Fg (4.11±0.84)g/L and UA (362.89±155.50)μmol/L levels of CHD patients were significantly higher than those of normal subjects,Fg(3.03±0.34)g/L,UA(290.07±93.80)μmol/L(P<0.001 and P<0.01).Serum levels of Fg were higher in the severe,moderate and minor groups than those in the control group(P<0.05-P<0.01).Serum levels of UA were higher in the severe group than those in the control group(P<0.05-P<0.01)and serum levels of Fg were higher in the severe group than those in the minor group(P<0.05).Conclusions: Plasma Fg and UA are associated with CHD.There are obvious correlations in the level of plasma Fg and UA with severity of coronary artery stenosis.

       

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