低分子肝素干预不稳定型心绞痛后QTcd、JTcd及CRP的变化(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2006年第1期
- 页码:
- 69-71
- 栏目:
- 临床研究
- 出版日期:
- 2006-01-01
文章信息/Info
- Title:
- Changes of QTcd, JTcd and Creactive protein in unstable angina pain intervened by low molecular weight heparin
- Author(s):
- SUN Chang-ming; XU Mei; LIU Jian-guo
- Department of Cardiology, Datong Railway Central Hospital, Datong, Shanxi 037005, China
- Keywords:
- low molecular weight heparin; unstable angina pain; QT dispersion JT dispersion; Creactive protein
- 分类号:
- R541.4
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的 观察应用低分子肝素（low molecular weightheparin,LMWH）干预后不稳定型心绞痛（UAP）患者的校正QT离散度（QTcd）、校正JT离散度（JTcd）及C反应蛋白（CRP）的变化及其相关关系。方法 将145名UAP患者随机分成干预组（n=76）给予LMWH，对照组（n=69）给予常规治疗。观察两组QTcd、JTcd及CRP的变化并进行统计分析。结果干预组与对照组的心绞痛缓解、消失的天数有显著性差异（P<0.01）。QTcd、JTcd及CRP亦存在显著性差异（均P<0.01）。QTcd、JTcd与CRP在治疗的变化中呈正相关（r分别为0.62、0.51，均P<0.01）。结论 LMWH对UAP的QTcd、JTcd及CRP有显著的降低作用，QTcd、JTcd与CRP呈正相关。
- Abstract:
- AIM To observe the changes of QTcd, JTcd and Creactive protein in patients with unstable angina pain following the medication of low molecular weight heparin. METHODS Patients involved were divided into two groups: 76 put on low molecular weight heparin; 69 given routine treatment. The changes of QTcd, JTcd and Creactive protein were observed, and their correlativity was analyzed. RESULTS QTcd, JTcd and Creactive protein were decreased (P<0.01), and angina was alleviated and disappeared more rapidly in the group with low molecular weight heparin compared with the group with routine treatment (P<0.01). There was positive correlativity between QTcd, JTcd and C-reactive protein respectively (r=0.62, r=0.51, P<0.01). CONCLUSION Medication with low molecular weight heparin decreases QTcd, JTcd and Creactive protein in patients with unstable angina pain.
参考文献/References
［1］中华医学会心血管病学会，中华心血管病杂志编辑委员会. 不稳定性心绞痛诊断和治疗建议［J］. 中华心血管病杂志, 2000,28(6):409-412.
［2］曾国彬， 张玉顺， 贾国良. 低分子肝素治疗不稳定型心绞痛的疗效［J］. 心脏杂志,2001,13(3):206-208.
［3］田政球， 吴 荔. 低分子肝素（速避凝）对无症状心肌缺血的观察［J］. 心血管康复医学杂志, 2001,10(2):148-149.
［4］Maseri A,Liuzzo G,Biasucci LM.Pathogenic mechanisms in unstable angina［J］.Heart,1999,82(Suppl 1):I2-I4.
［5］胡俊斌, 宋善俊, 魏文宁,等. 心绞痛患者高凝状态的研究［J］. 中华内科杂志， 1999,38(3):192.
［6］裴志勇， 杨庭树， 杜洛山,等. 不稳定型心绞痛炎性因子与冠状动脉病变的对比研究［J］. 临床心血管病杂志, 2002,18(7):308-310.
［7］王亚峰, 李勇, 施海明,等. QT离散度与冠心病的关系［J］. 临床心电学杂志, 1996, 5(4):156-159.
备注/Memo
- 备注/Memo:
- 收稿日期：2005-05-16.作者简介：孙昌明，副主任医师 Tel：（0352）7122097 Email：liujianguo@csco.org.cn
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