| الوصف: |
Objective: To investigate the relationship between serum levels of C1q tumor necrosis factorrelated protein 4(CTRP4) and hypersensitive C reactive protein (hs-CRP) and coronary heart disease (CHD) and its clinical value. Methods: 128 patients underwent coronary angiography in our hospital, 63 males, 65 women, Based on blood sugar levels and coronary angiography, Divided into pure coronary heart disease (CHD) group 62 cases, Coronary heart disease with diabetes (DM+CHD) group 66 cases, A total of 126 patients were selected as control group, 65 men, 61 women, CTRP4 and hs-CRP levels in serum, Using Pearson correlation analysis to assess the correlation between Gennisi score and CTRP4、hs-CRP, Analysis of three groups of biochemical indicators, CTRP4、hs-CRP level changes and clinical significance. Results: The CTRP4、hs-CRP level of DM+CHD group was significantly higher than that of control group and CHD group (P DM+CHD 0.05). The CTRP4、hs-CRP level of the three-vessel coronary artery lesion group in the experimental group was higher than that in the two-vessel lesion group (P ﹤0.05), Double branch lesion group was higher than single branch lesion group (P ﹤0.05); Correlation analysis shows, There was a significant positive correlation between the CTRP4、hs-CRP level of CHD group and DM+CHD group and the Gennisi score (P DM+CHD 0.05). ROC curves show, CTRP4 and hs-CRP levels had predictive value (CHD group, AUC=0.940,0.934, DM+CHD group, AUC=0.980,0.964), Two associations (CHD: AUC=0.961, P ﹤0.001, DM+CHD group: AUCDM+CHD 0.982, P ﹤0.001) the predictive value is high. Conclusion: Serum CTRP4 and hs-CRP are positively related to the severity of coronary heart disease, and the sensitivity and specificity of predicting coronary heart disease are high, which is helpful for the identification and early prevention of coronary heart disease, and has certain clinical reference value. |
