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原发性高血压合并冠心病患者血浆同型半胱氨酸水平测定及临床意义

李颢

中国医学创新Issue(26):55-57,3.
中国医学创新Issue(26):55-57,3.DOI:10.3969/j.issn.1674-4985.2014.26.021

原发性高血压合并冠心病患者血浆同型半胱氨酸水平测定及临床意义

The Clinical Significance of Plasma Homocysteine Level in Patients of Primary Hypertension with Coronary Heart Disease

李颢1

作者信息

  • 1. 河南省汝南县人民医院 河南 汝南 463300
  • 折叠

摘要

Abstract

Objective:To analyze the clinical value of plasma homocysteine(Hcy)levels in patients with essential hypertension in predicting the occurrence of coronary heart disease(CHD). Method:Based on the results of coronary angiography,123 patients were divided into pure hypertension group(group A,n=64)and essential hypertension combined with CHD group(group B,n=59),the plasma homocysteine,blood fat,super sensitive c-reactive protein were analyzed. The logistic regression model was used to determine the risk factors for occurrence of CHD .Result:The lelve of Hcy,hs-CRP,HDL-C in group B were significant difference compared with those in group A(P=0.000),Logistic regression analysis results showed that the serum homocysteine was risk factor for the development of the occurrence of coronary heart disease[OR=1.116,95%CI(1.060,1.176),P=0.000].Conclusion:Hyperhomocysteinaemia has the prognostic value for the occurrence of CHD in patients with essential hypertension.

关键词

原发性高血压/冠心病/同型半胱氨酸/超敏C反应蛋白

Key words

Primary Hypertension/Coronary heart disease/Homocysteine/Super sensitive CRP

引用本文复制引用

李颢..原发性高血压合并冠心病患者血浆同型半胱氨酸水平测定及临床意义[J].中国医学创新,2014,(26):55-57,3.

中国医学创新

1674-4985

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