肌酸激酶：疑似心肌梗死住院患者的种族-性别差异
Creatine kinase: race-gender differences in patients hospitalized for suspected myocardial infarction.
作者信息
Cook J C, Wong E, Haywood L J
机构信息
Department of Medicine, Los Angeles County/University of Southern California Medical Center 90033.
出版信息
J Natl Med Assoc. 1990 Apr;82(4):249-54.
Race-gender differences in creatine kinase values were studied in 647 consecutive patients admitted for suspected myocardial infarction. The lowest value in a serial set for each patient was used for group comparisons. Significant differences were found between Hispanic females and black males, using standard values. Using log creatine kinase values, significant differences were found among blacks, Caucasians, and Hispanics. Males had higher log creatine kinase values than females, but no differences were found between sexes within racial groups. Body surface area differences (significant between males and females) did not explain all of the racial-gender differences found. Reexamination of ranges of normality, taking into account race-gender differences, is strongly supported by these data.
对647名因疑似心肌梗死入院的连续患者的肌酸激酶值的种族-性别差异进行了研究。每组患者的一系列数值中的最低值用于组间比较。使用标准值时，发现西班牙裔女性和黑人男性之间存在显著差异。使用肌酸激酶值的对数值时，发现黑人、白人和西班牙裔之间存在显著差异。男性的肌酸激酶对数值高于女性，但在种族组内两性之间未发现差异。体表面积差异（男性和女性之间显著）并不能解释所发现的所有种族-性别差异。这些数据有力地支持了重新审视正常范围，同时考虑种族-性别差异。
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