摘要
【目的】研究微量白蛋白尿与冠心病的关系。【方法】按冠状动脉造影诊断标准将 4 2例患者分为冠心病组 (15人 )与非冠心病组 (2 7人 ) ,测定晨尿白蛋白 /肌酐浓度值 (ACR) ,比较两组患者尿ACR并分析ACR与冠脉病变程度的相关性。【结果】冠心病组ACR为 (138.4 9± 99.4 0 ) μg/mg显著高于非冠心病组的(5 3.83± 4 9.83) μg/mg ;ACR与冠脉计分呈显著的直线正相关 ;ACR正常组和ACR升高组危险因素个数及冠心病发病率相比差异均有显著性。【结论】检测ACR ,可能可以识别冠心病高危患者 ,并可能反映冠脉病变的严重程度。
To investigate the relationship between microalbuminuria and coronary artery disease(CAD).According to the diagnostic standard of coronary artery angiography, forty-two patients were divided into CAD group(15 patients) and non-CAD group (27 patients). The albumin and creatinine concentration ratio (ACR) in morning urine samples from patients of both groups was estimated and compared. The correlation of ACR to the extent of coronary lesions was analyzed.ACR in the CAD group(138.49±99.40)was significantly higher than that in non-CAD group(53.83±49.83). A distinctly linear positive correlation existed between ACR and the score of the coronary lesions ; when the number of risk factors and occurrence rate of CAD were compared between the patients with elevated ACR and those with normal ACR, the mutual difference showed statistical significance.[Conclusion]Detection of ACR may recognize patients with high risk of CAD and possibly reflect the severity of coronary lesions.
出处
《医学临床研究》
CAS
2004年第5期492-494,共3页
Journal of Clinical Research
