解放军医学院学报2017，Vol.38Issue(9)：839-842,4.DOI:10.3969/j.issn.2095-5227.2017.09.009
红细胞分布宽度对行急诊PCI治疗的ST段抬高型心肌梗死患者预后的影响
Value of red distribution width in predicting prognosis of STEMI patients treated with emergency PCI
雷红涛 1阮焕钧 2徐洪涛 1童珊珊 1张宁坤 2王泽 2程涛1
作者信息
- 1. 海军总医院心血管内科,北京100048
- 2. 安徽医科大学海军临床学院,北京100048
- 折叠
摘要
Abstract
Objective To investigate the value of red distribution width (RDW) in predicting the prognosis of STEMI patients undergoing primary PCI.Methods A total of 520 patients with diagnosis of STEMI who underwent emergency primary PCI from December 2013 to February 2016 in the department of cardiology,Navy General Hospital were included in this retrospective study.According to the preoperative RDW,STEMI patients were divided into low RDW group (RDW ≤ 13％,n=389) and high RDW group (RDW ＞ 13％,n=131) with a median split (median 13％).The predictive value of preoperative RDW level and the incidence of MACE events were compared between two groups during hospitalization and one-year after PCI,and the prognostic factors of STEMI patients after PCI operation were investigated by univariate and multivariate Logistic regression analysis.Results Compared with the low level of RDW group,the incidences of MACE events in the high RDW group after PCI during the postoperative hospitalization (4.7％ vs 15.3％,P ＜ 0.001),and 1 year after PCI (9.3％ vs 29％,P ＜ 0.001) were higher.Univariate Logistic regression analysis found that age (OR=1.019,95％CI:1.001-1.039,P=0.044),Hb (OR=0.985,95％CI:0.972-0.998,P=0.024),RDW (OR=2.212,95％CI:1.602-3.045,P ＜ 0.001) were related with the occurrence of MACE events.Multivariate Logistic regression analysis showed that only RDW (OR=1.831,95％CI:1.372-2.445,P ＜ 0.001) was independent risk factor.Conclusion Reoperative RDW level can predict the prognosis of patients with STEMI undergoing emergency PCI,and patients with high RDW level is more likely to develop of MACE.关键词
红细胞分布宽度/ST段抬高型心肌梗死/经皮冠状动脉介入治疗术/主要心血管事件Key words
red blood cell distribution width/ST segment elevation myocardial infarction/percutaneous coronary intervention/major adverse cardiac event分类
医药卫生引用本文复制引用
雷红涛,阮焕钧,徐洪涛,童珊珊,张宁坤,王泽,程涛..红细胞分布宽度对行急诊PCI治疗的ST段抬高型心肌梗死患者预后的影响[J].解放军医学院学报,2017,38(9):839-842,4.
