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红细胞分布宽度与青年ST段抬高型心肌梗死的关系 被引量:10

The relationship between red cell distribution width and acute ST-segment elevation myocardial infarction in young patients
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摘要 目的 研究红细胞分布宽度(RDW)与青年ST段抬高型心肌梗死(STEMI)的关系.方法 入选2011-2012年在郑州大学第一附属医以及郑州大学附属洛阳中心医院接受急诊PCI的STEMI和冠脉造影正常的患者,分为4组.组1为100例青年STEMI患者,组2为100例老年STEMI患者,组3为50例冠脉正常的青年患者,组4为50例冠脉正常的老年患者.结果 组1患者的RDW高于组3[(14.5±1.3)%比(13.0±0.8)%,P<0.05],组2与组4RDW未见明显差异[(13.8±1.2)%比(13.6±0.8)%,P>0.05].多元Logistic回归分析发现,RDW为青年发生STEMI的独立危险因素(OR=1.408,P=0.001).结论 RDW增高与青年STEMI的发生可能具有相关性. Objective To investigate the relationship between red cell distribution width and acute ST- segment elevation myocardial infarction in young patients. Methods This study included 200 patients who present- ed to our hospital with acute myocardial infarction (Group 1:100 young patients, ≤45 ages. Group 2:100 elderly patients, 〉45 ages) and 100 adults with normal coronary angiography as a control group (Group 3:50 young pa- tients, ≤45 ages. Group 4:50 elderly patients, 〉45 ages). Results Compared with Group 3, Group 1 had a significantly higher value of RDW [(14.5±1.3)% vs (13.0±0.8)%, P〈0.05]. Value of RDW was similar both of Group 2 and 4 [(13.8±1.2)% vs (13.6±4).8)%, P〉0.05]. After multivariate analysis, high level of RDW was an independent predictor of STEMI in young patients(OR=1.408, P=0.001). Conclusion High levels of RDW were associated with STEMI in young patients.
出处 《中国心血管病研究》 CAS 2014年第8期686-688,共3页 Chinese Journal of Cardiovascular Research
关键词 红细胞分布宽度 青年 ST段抬高型心肌梗死 Red cell distribution width Young patients Acute ST-segment elevation myocardial in-farcion
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