西安交通大学学报（医学版）2016，Vol.37Issue(4)：560-564,5.DOI:10.7652/jdyxb201604018
不稳定型心绞痛患者不同血糖状态时血小板的检测及临床意义
Clinical implications of the platelet test results about unstable angina patients with different conditions of blood glucose
摘要
Abstract
ABSTRACT:Objective To study the platelet changes in patients with unstable angina with different blood glucose ,and their related biochemical index changes ,and their relationship with global registry of acute coronary events (GRACE) score .Methods For this clinical study ,we enrolled 82 patients diagnosed with unstable angina , 47 of whom were male and 35 were female .Upon admission ,their random blood glucose was tested .According to different blood glucose values ,they were divided into normal blood glucose group (<6 .1 mmol/L) and high blood glucose (≥ 6 .1 mmol/L ) group . The following clinical data were compared between the two groups :age , hypertension ,diabetes ,smoking history ,and BMI .We detected EF (% ) ,HBA1C ,glucose ,LDL‐C ,HDL‐C ,TG , LPA ,CREA ,UA ,hsCRP ,BNP ,CKMB ,CTNI ,D‐Dimer ,and GRACE risk scores .We compared the platelet test results :PLT ,P‐LCR ,PDW ,and MPV .We also detected the relationship of MPV with hsCRP ,D‐Dimers and GRACE risk scores .Results MPV ,hsCRP ,and GRACE risk score differed significantly between normal blood glucose group and high blood glucose group (P<0 .05) .In the latter group ,MPV had significant correlation with hsCRP ,D‐Dimers and GRACE risk score ( r=0 .28 , r=0 .41 , r=0 .56 , P<0 .05) .Conclusion Hyperglycemia in patients with unstable angina causes the increase of MPV , change of the inflammatory marker hsCRP , and increase of clinical GRACE risk score .Abnormal MPV may predict the increased risk of unstable angina in patients with hyperglycemia upon hospitalization .关键词
不稳定型心绞痛(UA)/平均血小板体积(MPV)/GRACE评分/超敏C反应蛋白(hsCRP)/D-二聚体(D-Dimer)Key words
unstable angina (UA)/mean platelet volume (MPV)/GRACE score/high sensitive C reactive protein (hsCRP)/D-Dimer分类
医药卫生引用本文复制引用
梁琦,雷新军,薛小临,韩克,范力宏,袁祖贻..不稳定型心绞痛患者不同血糖状态时血小板的检测及临床意义[J].西安交通大学学报（医学版）,2016,37(4):560-564,5.基金项目
国家自然科学基金资助项目（No ．81170276） Supported by the National Natural Science Foundation of China （）
