脂肪细胞型脂肪酸结合蛋白对冠心病危险程度预测价值的研究

摘要

目的 探讨脂肪细胞型脂肪酸结合蛋白(A-FABP)表达在冠心病危险程度预测中的价值,为其防治提供依据.方法 回顾性分析经过冠状动脉造影确诊为冠心病观察组76例、同期26例阴性对照组患者的血清A-FABP表达水平、平板运动试验Duke评分,揭示A-FABP表达与冠心病危险程度之间的相关性.结果 A-FABP在冠心病观察组表达水平显著高于对照组(P ＜0.001),在多支病变、双支病变中A-FABP表达水平高于单支病变(P＜0.05)；A-FABP表达水平与Duke评分、冠状动脉病变支数、总胆固醇呈正相关,与高密度脂蛋白胆固醇水平呈负相关(P＜0.05).结论 A-FABP表达与冠心病的发病及病变程度密切相关,可能对冠心病的危险程度具有一定的预测价值.%Objective To explore the predictive value of adipocyte fatty acid-binding protein (A-FABP)expression for coronary heart disease,providing guidance for the prevention and treatment.Methods A-FABP expression level and Duke score in observation group of 76 patients after coronary angiography diagnosed as coronary heart disease and 26 cases of negative controls were retrospectively analyzed to reveal the correlation between the risk degree of coronary heart disease and A-FABP expression.Results A-FABP expression level in patients with coronary heart disease was significantly higher than in the control group(P ＜0.001).A-FABP expression level in multi-and double-vessel lesions group were significantly higher than in single-vessel lesion and the control group(P ＜ 0.05).A-FABP expression level was positively correlated with Duke score,coronary artery lesions and total cholesterol,and is negatively correlated with high density lipoprotein cholesterol levels(P ＜ 0.05).Conclusion A-FABP expression is closely related with the onset and severity of coronary artery disease,and may have some predictive value for the risk degree of coronary heart disease.