广西医学2017,Vol.39Issue(1):52-54,64,4.DOI:10.11675/j.issn.0253-4304.2017.01.15
世居高原人群红细胞生理指标变化与冠状动脉慢血流现象的相关性分析
Study on the relationship between the changes of physiological indexes of red blood cells and coronary slow flow phenomenon in the native of high altitude area
摘要
Abstract
Objective To investigate the correlation between the changes of physiological indexes of erythrocyte and the coronary slow flow phenomenon ( CSFP ) of plateau people .Methods One hundred and thirty-three patients with CSFP were selected as CSFP group ,and 137 patients showed no obvious abnormality of concurrent coronary artery angiography were selected as control group .Correlation between the changes of physiological indexes of erythrocyte and the CSFP were analyzed .Results Univariate analysis showed that the history of high blood pressure ,diabetes ,smoking history ,and the male proportion of CSFP group were higher than those of the control group (P<0.05),and there were statistical significances in prothrombin time ,D-dimer,RBC,Hb,hematocrit(Hct),mean corpuscular volume ( MCV) ,red cell distribution width reported statistically as standard deviation ( RDW-SD ) , direct bilirubin ( DBIL ) , indirect bilirubin (IBIL),TG,LDL-C,and HDL-C index between the two groups(P<0.05).But there were no statistical significances in activated partial thromboplastin time(APPT),fibrinogen(Fib),fibrinogen degration products (FDP),WBC,RDW-CV,PLT,IBIL,TC,or lipoprotein(a) [Lp(a)]between the two groups(P>0.05).Multi-factor logistic regression analysis showed that smoking ,diabetes,hypertension,RBC, HGB,HCT,TG,and LDL-C are risk factors for CSFP(P<0.05),while DBIL and HDL-C were protective factors of CSFP(P<0.05). Conclusion Hypertension,diabetes,smoking history,and the increase of TG,LDL-C,RBC,HGB and HCT index are independent risk factors for CSFP .关键词
冠状动脉慢血流现象/红细胞/血红蛋白/胆红素/血脂/高原地区Key words
Coronary slow flow phenomenon/Red blood cell/Hemoglobin/Bilirubin/Blood fat/High altitude分类
医药卫生引用本文复制引用
邓勇,马晓峰,王红,周巍,许萍,吴世政..世居高原人群红细胞生理指标变化与冠状动脉慢血流现象的相关性分析[J].广西医学,2017,39(1):52-54,64,4.基金项目
青海省卫生计生指导性科研课题 ()