發(fā)布時間：2018-06-12 08:22

  本文選題：急性心肌梗死 + 紅細(xì)胞分布寬度��； 參考：《實(shí)用醫(yī)學(xué)雜志》2016年12期

【摘要】：目的:通過分析急性心肌梗死(AMI)患者紅細(xì)胞分布寬度(RDW)變化與肌鈣蛋白I(c Tn I)和超敏C反應(yīng)蛋白(hs-CRP)的關(guān)系,探討RDW水平在預(yù)測AMI患者臨床預(yù)后的價值。方法:選取2014年5-10月我院收治的140例AMI患者并根據(jù)是否合并心力衰竭分為兩組,其中70例AMI不合并心力衰竭患者為AMI1組,70例AMI合并心力衰竭患者為AMI 2組,同期健康體檢者70例為對照組,比較各組RDW水平及其與c Tn I和hs-CRP水平的關(guān)系。同時通過單因素Logistic回歸分析及繪制ROC曲線,評估AMI患者中RDW預(yù)測心力衰竭發(fā)生的價值。結(jié)果 :在對照組、AMI1組和AMI 2組的比較中,RDW、c Tn I、hs-CRP水平均呈現(xiàn)遞增趨勢(P0.01)。在AMI患者中,RDW水平與c Tn I水平呈正相關(guān),而與hs-CRP水平無線性相關(guān)。RDW≥14.55%是AMI患者發(fā)生心力衰竭的獨(dú)立危險因素。結(jié)論 :RDW≥14.55%可作為AMI患者預(yù)后的獨(dú)立預(yù)測因子。
[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，

本文編號：2009023