Department of Internal Medicine-Cardiovascular, Dongying Traditional Chinese Medicine Hospital, Dongying 257055, Shandong Province, China.
Department of Clinical Laboratory, Dongying Traditional Chinese Medicine Hospital, Dongying 257055, Shandong Province, China.
J Healthc Eng. 2021 Dec 15;2021:8476592. doi: 10.1155/2021/8476592. eCollection 2021.
To investigate the correlation between changes in serum RBP4, hs-CRP, and IL-27 levels and rosuvastatin in the treatment of coronary heart disease (CHD).
One hundred and twenty patients with CHD admitted in our hospital were selected as the research object, including 60 patients with acute coronary syndrome as the ACS group, and 60 patients with stable angina as the SA group. Another 60 patients without CHD who were examined in our hospital at the same time were included in the non-CHD group. The patients with CHD were further divided into the control group (CG) ( = 42, with routine treatment) and the study group (SG) ( = 78, with routine treatment and rosuvastatin) to measure serum RBP4, hs-CRP, and IL-27 levels and analyze the correlation between each index and rosuvastatin in the treatment of CHD.
After retrospective analysis, no significant difference was found among the ACS group, the SA group, and the non-CHD group ( > 0.05). As for serum RBP4, hs-CRP, and IL-27 levels, ACS group > SA group > non-CHD group, with obvious differences among groups ( < 0.05). After Spearman correlation analysis, a positive correlation was observed between Gensini score and serum RBP4, hs-CRP, and IL-27 levels in patients with CHD ( < 0.05). After treatment, serum RBP4, hs-CRP, and IL-27 levels were gradually reduced. At 4 weeks after treatment, serum RBP4, hs-CRP, and IL-27 levels of the CG and the SG were decreased conspicuously, and compared with the control, each index of the SG was obviously lower ( < 0.05).
Serum RBP4, hs-CRP, and IL-27 play an important role in the occurrence and development of CHD, with a positive correlation to the Gensini score, which can indicate the severity of cardiovascular disease to a certain extent. Meanwhile, rosuvastatin can remarkably reduce serum RBP4, hs-CRP, and IL-27 levels, which is of significance for prognosis.
探讨血清 RBP4、hs-CRP 和 IL-27 水平变化与瑞舒伐他汀治疗冠心病(CHD)的相关性。
选取我院收治的 120 例 CHD 患者作为研究对象,其中急性冠脉综合征(ACS)患者 60 例为 ACS 组,稳定型心绞痛(SA)患者 60 例为 SA 组,同期在我院体检无 CHD 的 60 例患者为非 CHD 组。CHD 患者进一步分为对照组(CG)(n=42,常规治疗)和研究组(SG)(n=78,常规治疗+瑞舒伐他汀),检测血清 RBP4、hs-CRP 和 IL-27 水平,并分析各指标与瑞舒伐他汀治疗 CHD 的相关性。
经回顾性分析,ACS 组、SA 组和非 CHD 组之间差异无统计学意义(>0.05)。血清 RBP4、hs-CRP 和 IL-27 水平,ACS 组>SA 组>非 CHD 组,组间差异有统计学意义(<0.05)。Spearman 相关性分析显示,CHD 患者 Gensini 评分与血清 RBP4、hs-CRP 和 IL-27 水平呈正相关(<0.05)。治疗后,血清 RBP4、hs-CRP 和 IL-27 水平逐渐降低,治疗 4 周后 CG 和 SG 患者的血清 RBP4、hs-CRP 和 IL-27 水平均明显降低,且与 CG 比较,SG 各指标均明显更低(<0.05)。
血清 RBP4、hs-CRP 和 IL-27 在 CHD 的发生发展中起重要作用,与 Gensini 评分呈正相关,一定程度上可反映心血管疾病的严重程度。同时,瑞舒伐他汀可显著降低血清 RBP4、hs-CRP 和 IL-27 水平,对预后有重要意义。