本文選題：急性心肌梗死 + 肺炎��； 參考：《中華醫(yī)院感染學(xué)雜志》2017年07期

【摘要】：目的分析急性心肌梗死(AMI)患者出現(xiàn)肺炎衣原體感染對其血液流變學(xué)和急性心肌梗死病情的影響,為科學(xué)診治急性心肌梗死作出貢獻。方法選取2013年12月-2015年1月醫(yī)院急性心肌梗死并發(fā)肺炎衣原體感染患者65例為感染組,選取同期未合并感染性疾病的急性心肌梗死患者60例為未感染組,同時選取同期體檢的60名健康成年人為對照組,比較3組受試者臨床指標(biāo)。結(jié)果感染組患者血清C-反應(yīng)蛋白、可溶性血管細胞黏附因子(sVCAM-1)、肌酸激酶同工酶(CK-MB)、血漿黏度、紅細胞指數(shù)、全血黏度和血細胞比容均顯著高于其他兩組(P0.05);未感染組血清CRP、ET-1、sVCAM-1、CK、CK-MB、CTnⅠ顯著高于對照組(P0.05);logistic分析顯示IgA抗體陽性和IgG抗體陽性為AMI獨立危險因素(P0.05)。結(jié)論肺炎衣原體感染能夠?qū)毙孕募」Ｋ阑颊哐毫髯儗W(xué)、血脂等指標(biāo)產(chǎn)生不良影響,是急性心肌梗死疾病進展的危險因素之一。
[Abstract]:Objective to analyze the effect of chlamydia pneumoniae infection on hemorheology and acute myocardial infarction in patients with acute myocardial infarction (AMI), so as to contribute to the scientific diagnosis and treatment of acute myocardial infarction. Methods from December 2013 to January 2015, 65 patients with acute myocardial infarction complicated with chlamydia pneumoniae infection were selected as infection group, and 60 patients with acute myocardial infarction who were not complicated with infectious disease were selected as uninfected group. At the same time, 60 healthy adults in the same period were selected as control group, and the clinical indexes of 3 groups were compared. Results Serum C- reactive protein, soluble vascular cell adhesion factor (sVCAM-1), creatine kinase isoenzyme (CK-MBN), plasma viscosity, erythrocyte index (RBC) were detected in infected patients. The whole blood viscosity and blood cell volume were significantly higher than those of the other two groups (P 0.05), and the serum CRPT-1 / VCAM-1 / CK-MBN 鈪，

本文編號：2016050