深圳市第七人民医院 汪润 朱红秋 余杨 朱平安

    【摘要】目的：探讨胆固醇正常的ACS患者高敏C反应蛋白水平( hs- CRP)浓度与临床预后的相关性。方法：对94例血清总胆固醇水平正常的ACS患者血清hs- CRP浓度结合调阅患者住院病历记录、门诊及电话随访方式进行随访、预后分析。结果：在胆固醇正常的患者中，hs- CRP升高者主要心血管不良事件(包括心源性死亡、心肌梗死、反复心绞痛发作)发生率较hs- CRP正常者低，二者对比有统计学意义(P<0.05)。结论：胆固醇正常的ACS患者 hs- CRP水平的升高是预测主要心血管不良事件的独立危险因素，具有重要的临床价值。

    【关键词】胆固醇正常的ACS患者 高敏C反应蛋白水平 预后

    Association of the level of high-sensitivity C-reactive protein with the prognosis in ACS patients with normal cholesterol

    The seventh people's hospiter of Shenzhen Wangrun Yuyang Zhuhongqiu Zhuping-an

    Summary Objective To assess the level of high-sensitivity C-reactive protein (hs-CRP) and the prognosis in ACS patients with normal cholesterol. Methods 94 patients with ACS with normal cholesterol were studied. The total cholesterol and serums high-sensitivity C-reactive protein (hs-CRP) was checked in the 94 patients. The prognosis was evaluated by studying the hospitalization medical history record, out-patient service and telephone with visit. Results In patients of normal cholesterol, the high hs-CRP reduced the probability of the main bad cardiovascular affairs (include the heart source death, the myocardial die, again and again the angina pectoris go into action) and the low hs-CRP not. The difference was significant. Conclusions High hs-CRP level in ACS patients with normal cholesterol is an independent dangerous factor of main bad cardiovascular affairs and have important clinical value. ......