红细胞分布宽度与急性冠脉综合征及冠脉狭窄的相关性

发布时间：2018-07-28 20:28

【摘要】：目的:探讨红细胞分布宽度(RDW)与急性冠脉综合征(ACS)及冠脉狭窄程度的相关性。方法:选取接受冠脉造影的ACS患者221例,以及同期行冠脉造影结果正常的50例为对照组,检测两组的RDW水平,比较其差异;将ACS分为不稳定心绞痛组(unstable angina,UA)和急性心肌梗死组(acutemyocardial infarction,AMI),比较两组RDW水平的差异;将冠脉造影结果阳性的221例病例按Gensini积分评价冠脉狭窄严重程度,并根据积分分为3组:≤30分组、31~60分组、60分组,分别比较各组间RDW水平,比较其差异。结果:ACS组患者的RDW水平(13.02±0.68)明显高于冠脉结果正常组(12.62±0.38),差异有统计学意义(P0.05);AMI组的RDW水平(13.12±0.66)相较于UA组RDW水平(12.84±0.68)较高,差异有统计学意义(P0.05);随着Gensini积分的增加,RDW水平逐渐升高,除对照组与≤30分组之间差异无统计学意义外,其余各组间两两比较差异有统计学意义(P0.05)。结论:ACS组及AMI的RDW水平是明显升高的,提示RDW可能参与急性冠脉综合征发病过程,为急性冠脉综合征的一个潜在指标;RDW水平与冠脉狭窄程度密切相关,可作为预测冠脉狭窄程度的指标之一。
[Abstract]:Objective: to investigate the correlation between erythrocyte distribution width (RDW) and acute coronary syndrome (ACS) (ACS) and coronary stenosis. Methods: 221 patients with ACS received coronary angiography and 50 patients with normal coronary angiography were selected as control group. The levels of RDW were measured and compared between the two groups. ACS was divided into unstable angina pectoris group (unstable anginahua UA) and acute myocardial infarction group (acutemyocardial infarction group), the difference of RDW level between the two groups was compared, and the severity of coronary stenosis was evaluated by Gensini score in 221 cases with positive coronary angiography results. According to the score, they were divided into three groups: 鈮，

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