| 赵家鑫,李梦云,丁晓梅.平均血小板体积在急性冠脉综合征患者风险评估以及预后预测中的意义[J].安徽医药,2015,19(10):1917-1920. |
| 平均血小板体积在急性冠脉综合征患者风险评估以及预后预测中的意义 |
| Value of mean platelet volume in risk and prognosis prediction among patients with acute coronary syndrome |
| 投稿时间：2015-05-06 |
| DOI： |
| 中文关键词: 平均血小板体积 急性冠脉综合征 GRACE评分 |
| 英文关键词: MPV ACS GRACE score |
| 基金项目: |
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| 中文摘要: |
| 目的 分析平均血小板体积(MPV)对急性冠脉综合征(ACS)患者在院风险和出院后短期预后的预测价值,预测ACS患者ST段抬高的危险因素。 方法 分析235例ACS患者中STE-ACS组(ST段抬高组)与NSTE-ACS组(非ST段抬高组)的 MPV值；并对GRACE评分非高危组(≤133分)和高危组(>133分)的MPV进行分析； Logistic回归分析影响ACS患者ST段抬高的独立危险因素。 结果 STE-ACS组MPV值较NSTE-ACS组高(P=0.000),在院(P=0.002)和出院后短期内(P=0.009)GRACE评分高危组MPV值较非高危组高,Logistic回归显示年龄(P=0.016,OR[95%CI]=1.033[1.006~1.106])和MPV(P=0.000,OR[95%CI]=2.857[2.082~3.920])是影响ACS患者ST段抬高的独立危险因素。 结论 ACS患者中, ST段抬高型心梗(STEMI)患者的MPV明显高于不稳定心绞痛(UA)和非ST段抬高型心梗(NSTEMI)患者,高MPV值提示高风险,MPV和年龄是影响ACS患者ST段抬高的独立危险因素。 |
| 英文摘要: |
| Objective To analyze the value of MPV in predicting risk and short-term prognosis after hospital discharge among patients with ACS. Methods 235 cases of patients with ACS were assigned into STE-ACS group and NSTE-ACS group to analyze whether there was a significant difference in MPV values between the two groups.All patients were also assigned into high-risk group and low-risk group to analyze the same difference.Risk factors for ST-segment elevation in patients with ACS were found using logistic regression. Results MPV was higher in STE-ACS group than NSTE-ACS(P=0.000).Both in hospital(P=0.002) and in a short time after hospital discharge (P=0.009),MPV of high-risk group was higher than low-risk group.Age (P=0.016,OR[95%CI]=1.033[1.006~1.106])and MPV(P=0.000,OR[95%CI]=2.857[2.082~3.920]) were risk factors for ST-segment elevation in patients with ACS. Conclusions Higher MPV presages higher risk in patients with ACS.Age and MPV are risk factors for ST-segment elevation in patients with ACS. |
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