检验医学与临床2017，Vol.14Issue(12)：1765-1767,3.DOI:10.3969/j.issn.1672-9455.2017.12.030
白细胞计数与平均血小板体积比值对于急性心肌梗死患者PCI术后主要不良事件的预测价值
Predictive value of WBC count to MPV ratio for MACE after PCI in patients with acute myocardial infarction
蒋主辉 1许黎莉 1谢艳 1潘露 1曹治耀1
作者信息
摘要
Abstract
Objective To evaluate the predictive value of WBC count to mean platelet volume(MPV) ratio(WMR) for main adverse cardiovascular events(MACE) in the patients with acute myocardial infarction(AMI).Methods The clinical data in 90 cases of AMI were retrospectively analyzed.The patients were divided into the MACE group(39 cases) and non-MACE group(51 cases) according to the MACE occurrence situation at 2 years after PCI.The fluctuation situation of WMR was compared between before and after PCI treatment,and its correlation with MACE occurrence was analyzed.Results The WMR level after PCI in the nonMACE group was significantly decreased [(1 405.6±151.2) × 10-6/L2 vs.(961.4±122.1) × 10-6/L2,P＜0.05];but no obvious decrease of WMR was found in the MACE group(P＞0.05).△WMR in the MACE group was significantly lower than that in the non-MACE group[(141.5±29.8) × 10-6/L2 vs.(499.5±94.3)× 10-6/L2,P＜0.05].△WMR was negatively correlated with the MACE occurrence rate at postoperative 2 years (r =-0.633,P＜ 0.05).The area under the curve (AUC) of MACE was 0.812,95 ％CI was 0.723-0.898,the cut-off value was 100.2,the sensitivity was 81.4 ％ and the specificity was 76.2 ％.Conclusion Dynamic observation of WMR change before and after PCI is conducive to the early assessment of MACE in the patients with AMI.关键词
急性心肌梗死/白细胞计数/平均血小板体积比值/主要不良事件Key words
acute myocardial infarction/WBC count/mean platelet volume/main adverse cardiovascular events引用本文复制引用
蒋主辉,许黎莉,谢艳,潘露,曹治耀..白细胞计数与平均血小板体积比值对于急性心肌梗死患者PCI术后主要不良事件的预测价值[J].检验医学与临床,2017,14(12):1765-1767,3.
