急性心肌梗死患者检测同型半胱氨酸的意义探讨.docVIP

精品论文 参考文献 急性心肌梗死患者检测同型半胱氨酸的意义探讨 陈明 　　（四川省射洪县中医院检验科 四川 遂宁 629000） 　　【摘要】目的：分析探讨急性心肌梗死患者检测同型半胱氨酸的意义。方法：选择2014年1月至2014年12月确诊为急性心肌梗死疾病的患者72例设为实验组，确诊为不稳定性心绞痛疾病的70例患者设为对照A组，选择70例同期进行体检健康者设为对照B组，同时检测实验组和对照组人血清中的同型半胱氨酸浓度水平和缺血修饰白蛋白浓度水平，综合分析结果。结果:浓度水平检测结果分析可见，与对照A组和B组比较，实验组患者的血清同型半胱氨酸和缺血修饰白蛋白浓度水平均有显著升高，差异具有统计学意义（P＜0.05）；阳性率结果分析可见，实验组患者同型半胱氨酸和缺血修饰白蛋白的阳性率均在85%以上，两者之间阳性率无明显差异（P＞0.05），但均明显高于对照A组和对照B组，差异均有统计学意义（P＜0.05）。结论：同型半胱氨酸是一种辅助诊断急性心肌梗死疾病的有效指标，与缺血修饰白蛋白一样具有较高的灵敏度，且有利于急性心肌梗死疾病和不稳定性心绞痛疾病的辅助鉴别诊断，值得推广。 　　【关键词】急性心肌梗死；不稳定性心绞痛；同型半胱氨酸；缺血修饰白蛋白 　　【中图分类号】R446 【文献标识码】A 【文章编号】2095-1752（2015）12-0032-02 　　To explore the clinical significance of the acute myocardial infarction diagnosis by the Homocysteine testing 　　Chen Ming Shehong Hospital of Traditional Chinese Medicine, Sichuang Province,Shehong 629000i, China 　　【Abstract】Objective To explore the clinical significance of the acute myocardial infarction diagnosis by the Homocysteine testing. Methods Choosing 72 cases of patients with the acute myocardial infarction for the experimental group, 70 cases of patients with the unstable angina for the control group A and 70 cases healthy check-up for the control group B, testing the plasma Homocysteine and the Ischemia Modified Albumin, analyze the results comprehensively. Results For the concentration level test results analysis, compared with the control group A and group B, there were significant rising of the Homocysteine and the Ischemia Modified Albumin of the experimental group(p ＜0.05). For the positive results, the positive rate of the Homocysteine and the Ischemia Modified Albumin were more than 85%, and no significant differences between of them(p＞0.05), but all higher than the control group A and group B(p ＜0.05). Conclusion There is a effective indicators of the Homocysteine for the acute myocardial infarction auxiliary diagnosis, which has higher sensitivity As well as Ischemia Modified Albumin, and it is good for the auxiliary