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目的探讨心肌标志物cTnI、hs-CRP、CK-Mb指标的动态水平在急性心肌梗死中的价值,为急性心肌梗死的早期诊断、治疗和预后评估提供更准确的、更有价值的指标。方法对80例急性心肌梗死患者进行cTnI、hs-CRP和CK-Mb水平的动态检测,同时与60非急性心肌梗死的对照组进行比较。结果急性心肌梗死患者组血清cTnI、hs-CRP和CK-Mb总体水平和在2～6h、12h、24h、48h、72h的含量显著高于对照组(P<0.01)。结论急性心肌梗死患者血清cTnI、hs-CRP和CK-Mb指标联合的动态检测有助于急性心肌梗死早期诊断、治疗和预后评估具有临床意义。
Objective To investigate the dynamic value of myocardial markers cTnI, hs-CRP and CK-Mb in acute myocardial infarction and to provide more accurate and valuable indicators for the early diagnosis, treatment and prognosis of acute myocardial infarction. Methods The dynamic changes of cTnI, hs-CRP and CK-Mb in 80 patients with acute myocardial infarction were detected, and compared with 60 non-acute myocardial infarction control group. Results The serum levels of cTnI, hs-CRP and CK-Mb in patients with acute myocardial infarction were significantly higher than those in the control group at 2 ~ 6h, 12h, 24h, 48h and 72h (P <0.01). Conclusion The dynamic detection of serum cTnI, hs-CRP and CK-Mb indexes in acute myocardial infarction patients is helpful for the early diagnosis, treatment and prognosis evaluation of acute myocardial infarction.