1～3支血管病变急性心肌梗死患者心电图QRS积分、血清hs-CRP水平、GENSINI评分变化及相关性分析

发布时间：2018-07-15 12:45

【摘要】：目的观察1~3支血管病变急性ST段抬高型心肌梗死(STEMI)患者心电图QRS积分、血清高敏C反应蛋白(hs-CRP)水平、GENSINI评分变化,并分析各指标间的相关性。方法 122例STEMI患者按冠脉造影检查结果分为单支病变组(44例)、双支病变组(43例)、三支病变组(35例),比较各组心电图QRS积分、血清hs-CRP水平、GENSINI评分,并分析各指标间的相关性。结果与单支病变组比较,双支病变组及三支病变组心电图QRS积分、血清hs-CRP水平、GENSINI评分升高(P均0.05);与双支病变组比较,三支病变组心电图QRS积分、血清hs-CRP水平、GENSINI评分升高(P均0.05)。Pearson相关分析显示,心电图QRS积分与血清hs-CRP水平、冠脉GENSINI评分均呈正相关(r=0.72、0.68,P均0.05)。结论 STEMI患者心电图QRS积分、血清hs-CRP水平、GENSINI评分随阳性血管支数的变化而变化,且QRS积分与hs-CRP、GENSINI评分均存在相关性;QRS积分、hsCRP可作为冠脉病变程度的预测因子。
[Abstract]:Objective to observe the changes of ECG QRS score and serum Gao Min C-reactive protein (hs-CRP) level in patients with acute ST-segment elevation myocardial infarction (STEMI) and to analyze the correlation between them. Methods 122 STEMI patients were divided into single vessel lesion group (44 cases), double vessel lesion group (43 cases) and three vessel lesion group (35 cases) according to the results of coronary angiography. Results compared with the single vessel group, the QRS score and the serum hs-CRP level and the GENSINI score were higher in the double vessel lesion group and the three vessel lesion group (P 0.05), and the QRS score in the three vessel lesion group was higher than that in the double vessel lesion group. The level of serum hs-CRP increased (P 0.05). Pearson correlation analysis showed that there was a positive correlation between ECG QRS score and serum hs-CRP level and coronary GENSINI score (r = 0.72 卤0.68, P 0.05). Conclusion QRS score, serum hs-CRP level and GENSINI score of STEMI patients vary with the number of positive blood vessels, and QRS score and hs-CRP+ GENSINI score are correlated with QRS score and hsCRP score, which can be used as predictors of coronary artery lesion.
【作者单位】：上海交通大学附属上海市第六人民医院;
【分类号】：R542.22

【相似文献】