| 沈正军.外周血红细胞分布宽度变化与急性心肌梗死患者临床预后的关系[J].安徽医药,2016,20(9):1709-1711. |
| 外周血红细胞分布宽度变化与急性心肌梗死患者临床预后的关系 |
| Relationship between changes of peripheral red blood cell distribution width and the clinical prognosis in patients with acute myocardial infarction |
| 投稿时间：2016-03-11 |
| DOI： |
| 中文关键词: 心肌梗死 红细胞指数 血红蛋白测定 血细胞比容 预后 |
| 英文关键词: |
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| 中文摘要: |
| 目的 探讨外周血红细胞分布宽度变化与急性心肌梗死患者临床预后的关系。方法 选择70例急性心肌梗死患者作为研究组,选取70例冠心病心绞痛患者作为对照组1,选取同时期健康体检者作为对照组2,观察并比较各组患者外周血红细胞宽度情况。研究组患者根据外周血红细胞分布宽度的不同分为红细胞宽度增加组和正常组,观察并比较两组患者的预后情况。结果 外周血红细胞宽度三组比较差异有统计学意义(P＜0.05),研究组显著高于对照组1和对照组2(均P＜0.05)；血红蛋白水平三组比较差异无统计学意义(P＞0.05)。红细胞分布宽度增加组的心力衰竭、心律失常、再发心肌梗死发生率均显著高于红细胞分布宽度正常组(均P＜0.05),病死率比较两组差异无统计学意义(P＞0.05)。结论 外周血红细胞分布宽度变化与急性心肌梗死患者临床预后存在密切联系,红细胞分布宽度可用于急性心肌梗死预后的判断 |
| 英文摘要: |
| Objective To investigate the relationship between changes of peripheral red blood cell distribution width and the clinical prognosis in patients with acute myocardial infarction.Methods Seventy cases of patients with acute myocardial infarction(AMI) were chosen as study group,the other 70 cases of angina pectoris of coronary heart disease patients were selected as the control group 1,healthy persons selected at the same period were as control group 2.Peripheral blood erythrocyte widths were observed and compared.Patients in the study group according to different points of the peripheral red blood cell distribution width were assigned into the width increase subgroup and normal subgroup and the prognosis was observed and compared between the two groups of patients.Results There was statistically significant difference in peripheral blood erythrocyte width among three groups(P<0.05),the study group significantly higher than those of control group 1 and control group 2(P<0.05).There was no statistically significant difference in hemoglobin level among the three groups(P>0.05).Heart failure,arrhythmia,myocardial infarction incidence in the width increase subgroup was significantly higher than the normal subgroup(P<0.05),and the mortality rate compared between the two groups was not statistically different(P>0.05).Conclusions Changes of peripheral blood erythrocyte distribution width is closely linked with clinical prognosis of patients with acute myocardial infarction,and the distribution width of red cells can be used for judging the prognosis in patients with acute myocardial infarction. |
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