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平均血小板体积与淋巴细胞比值与急性冠脉综合征患者冠脉病变严重程度的相关性研究

茂建梅 刘卫生

临床误诊误治2019,Vol.32Issue(3):81-84,4.
临床误诊误治2019,Vol.32Issue(3):81-84,4.DOI:10.3969/j.issn.1002-3429.2019.03.018

平均血小板体积与淋巴细胞比值与急性冠脉综合征患者冠脉病变严重程度的相关性研究

Correlation between Mean Platelet Volume-to-lymphocyte Ratio and the Severity of Coronary Lesion in Patients with Acute Coronary Syndrome

茂建梅 1刘卫生1

作者信息

  • 1. 延安大学附属医院心内科一病区, 716000 陕西 延安
  • 折叠

摘要

Abstract

Objective To investigate the correlation between mean platelet volume-to-lymphocyte ratio (MPVLR) and the severity of coronary artery lesion in patients with acute coronary syndrome (ACS). Methods A total of 95 patients with ACS confirmed by coronary angiography (CAG) were enrolled as observation group, while 54 patients without coronary heart disease (CHD) who underwent CAG after admission to our hospital for suspicious CHD during the same period were selected as the control group.According to the SYNTAX score, the observation group was subdivided into low risk group (<23 points, n=57) and high risk group (≥23 points, n=38). General data of all patients were documented. In all patients, laboratory indicators such as the mean platelet volume (MPV), lymphocyte count and uric acid were detected and MPVLR was calculated. The independent predictive value of MPVLR for coronary artery lesions in ACS patients was analyzed.Results There were significant differences in age, male ratio, history of hypertension, history of diabetes, number of diseased vessels, left ventricular ejection fraction, creatinine, uric acid, and MPVLR in the three groups (P<0.05). Logistic regression analysis showed that number of diseased vessels and MPVLR were independent risk factors for severity of coronary artery lesions in ACS patients (P<0.05). Conclusion MPVLR is an independent risk factor for severity of coronary artery lesions in patients with ACS and can be used as one of predictors for the prognosis of those patients.

关键词

急性冠状动脉综合征/平均血小板体积/淋巴细胞计数/病变严重程度指数

Key words

Acute coronary syndrome/Mean platelet volume/Lymphocyte count/Severity of illness index

分类

医药卫生

引用本文复制引用

茂建梅,刘卫生..平均血小板体积与淋巴细胞比值与急性冠脉综合征患者冠脉病变严重程度的相关性研究[J].临床误诊误治,2019,32(3):81-84,4.

临床误诊误治

OACSTPCD

1002-3429

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