Objective To investigate the relationship between hs-CRP and the severity of coronary arterial atherosclerosis and explore the predictive role of hs-CRP for patients with coronary heart disease. Methods 91 patients with coronary artery disease in our hospital from January 2013 to January 2015 were selected. Serum hs-CRP was measured and improved Gensini score was used to assess of coronary artery stenosis. The occurrence of cardiovascular events was recorded during 1 years of follow-up. Results The level of hs-CRP level of coronary artery stenosis score higher than the low, hs CRP level group, the difference is statistically signiifcant (P<0.05), with the elevation of serum hs-CRP levels and cardiovascular events occurred rate assumes the trend of escalation, to hs-CRP level group for cardiovascular events occur rate is higher than the low, hs-CRP level group, the difference is statistically signiifcant (P<0.05). Conclusion The level of serum hs-CRP can relfect the severity of coronary artery disease and it was of certain value in predicting the prognosis of patients with coronary heart disease.%目的分析冠心病患者hs-CRP水平与冠状动脉病变程度的关系，探讨其对冠心病患者预后的预测价值。方法选取我院2013年1月～2015年1月收治的经冠状动脉造影诊断为冠心病患者91例，测定其血清hs-CRP水平，采用改良Gensini评分评估冠状动脉狭窄程度。随访1年，记录心血管事件发生情况。结果高hs-CRP水平组冠状动脉狭窄评分高于低、中hs-CRP水平组，差异有统计学意义（P＜0.05）；随着血清hs-CRP水平升高，心血管事件发生率呈上升趋势，高hs-CRP水平组心血管事件发生率高于低、中hs-CRP水平组，差异有统计学意义（P＜0.05）。结论血清hs-CRP水平可反映冠心病患者的冠状动脉病变严重程度，且对冠心病患者的预后具有一定的预测价值。
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