红细胞分布宽度变化与急性心肌梗死预后的相关性

发布时间：2018-06-12 08:22

  本文选题：急性心肌梗死 + 红细胞分布宽度　； 参考：《实用医学杂志》2016年12期

【摘要】：目的:通过分析急性心肌梗死(AMI)患者红细胞分布宽度(RDW)变化与肌钙蛋白I(c Tn I)和超敏C反应蛋白(hs-CRP)的关系,探讨RDW水平在预测AMI患者临床预后的价值。方法:选取2014年5-10月我院收治的140例AMI患者并根据是否合并心力衰竭分为两组,其中70例AMI不合并心力衰竭患者为AMI1组,70例AMI合并心力衰竭患者为AMI 2组,同期健康体检者70例为对照组,比较各组RDW水平及其与c Tn I和hs-CRP水平的关系。同时通过单因素Logistic回归分析及绘制ROC曲线,评估AMI患者中RDW预测心力衰竭发生的价值。结果 :在对照组、AMI1组和AMI 2组的比较中,RDW、c Tn I、hs-CRP水平均呈现递增趋势(P0.01)。在AMI患者中,RDW水平与c Tn I水平呈正相关,而与hs-CRP水平无线性相关。RDW≥14.55%是AMI患者发生心力衰竭的独立危险因素。结论 :RDW≥14.55%可作为AMI患者预后的独立预测因子。
[Abstract]:Objective: to explore the value of RDW level in predicting the clinical prognosis of acute myocardial infarction (AMI) patients by analyzing the relationship between RDW (RDW) and cardiac troponin I (c TnI) and hypersensitive C-reactive protein (hs-CRP) in patients with acute myocardial infarction (AMI). Methods: 140 patients with AMI from May to October 2014 were selected and divided into two groups according to whether they were complicated with heart failure. 70 patients with AMI without heart failure were divided into AMI group and AMI group, 70 patients with AMI complicated with heart failure were divided into two groups. The RDW level and its relationship with c TnI and hs-CRP levels were compared in 70 healthy persons as control group. At the same time, the value of RDW in predicting heart failure in AMI patients was evaluated by univariate logistic regression analysis and ROC curve. Results: the levels of RDWc Tn I hs-CRP in control group and AMI group showed an increasing trend (P 0.01). In AMI patients, the level of RDW was positively correlated with the level of c TnI, while the wireless correlation with hs-CRP. RDW 鈮，

本文编号：2009023