高敏C-反应蛋白(Hs-Crp)与代谢综合征成分的关系

Mirzaie Amir, Md. Abdur Rouf, Md Habib Hassan, Anupam Barua
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摘要

背景:代谢综合征与高血压、糖尿病的发展以及心血管不良结局的风险增加有关。它被认为是一种与低度全身炎症相关的炎性状态。C反应蛋白是慢性全身性炎症的一个强有力的生物标志物。本研究旨在探讨高敏c反应蛋白(hs-CRP)与住院患者代谢综合征(MetS)各组成部分的关系。材料与方法:选取2016年1月至2016年12月在吉大港医学院附属医院内科就诊或室外就诊的50例18岁及以上代谢综合征患者进行横断面研究。国家胆固醇教育小组(NCEP) ATP - III, 2001标准被用于诊断MetS。结果:在单因素分析中,几乎所有成分的hsCRP水平均升高,但差异无统计学意义。MetS患者hs-CRP高于无MetS患者(5.18±1.98 Vs 3.51±1.63mg/l), p值为0.023。结论:代谢综合征患者hs-CRP水平高于无代谢综合征患者,且hs-CRP水平随其组分数量的增加而直接升高。Jcmcta 2020;31 (1): 71-75
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Relationship of High-Sensitivity C- Reactive Protein (Hs-Crp) with the Components of Metabolic Syndrome
Background: Metabolic syndrome is associated with both the development of Hypertension, Diabetes Mellitus and an increased risk of adverse cardiovascular outcome. It is considered aspro inflamatory state linked with low grade systemic inflammation. C- reactive protein is a powerful biomarker of chronic systemic inflammation. Aim of this study is to evaluate the relationship of Highsensitivity C-reactive Protein (hs-CRP) with the components of Metabolic Syndrome (MetS) among hospitalized patients. Materials and methods: 50 patients of 18 years and above with metabolic syndrome, attending outdoor or admitted to Medicine Department of Chittagong Medical College Hospital from January 2016 to December 2016 were enrolled for this cross sectional study. The National Cholesterol Education Panel (NCEP) ATP – III, 2001 criteria was used for the diagnosis of MetS. Results: hsCRP level was found increased in almost every components of MetSin univariate analysis but the differences were not statistically significant. Patients with MetS had higher value of hs-CRP than without MetS (5.18±1.98 Vs 3.51± 1.63mg/l) with a p value 0.023.   Conclusions: Patients with metabolic syndrome had higher levels of hs-CRP than those without metabolic syndrome and hs-CRP levels increased directly with increasing number of its components. JCMCTA 2020 ; 31 (1) : 71-75
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