摘要
目的观察急性心肌梗死(AMI)患者红细胞分布宽度(RDW)、血小板计数(PLT)、平均血小板体积(MPV)、血小板分布宽度(PDW)的变化,并探讨其数值变化在急性心肌梗死诊断中的应用。方法选取我院2014年1月至2015年8月期间收治的AMI患者50例(AMI组),分别检测入院时的RDW、PLT、MPV、PDW,同时选择50例健康体检者作为对照组,所有标本采用全自动血细胞分析仪进行RDW、PLT、MPV、PDW的检测。结果 AMI组的RDW、MPV、PDW水平均显著高于对照组(P<0.05),多因素Logistic回归分析显示,高RDW、MPV、PDW水平为AMI的独立危险因素。结论 RDW、MPV、PDW水平升高与AMI发病有关,监测红细胞分布宽度及血小板参数的变化有助于对怀疑急性心肌梗死患者的诊断。
Objective To observe the changes in red blood cell distribution width （RDW）, platelet count （PLT）, mean platelet volume （MPV） and platelet distribution width （PDW） of patients with acute myocardial infarction, and explore its application in the diagnosis of acute myocardial infarction. Methods 50 cases of patients with acute myocardial infarction admitted to our hospital from January 2014 to August 2015 were selected as AMI group, whose RDW, PLT, MPV and PDW were detected on admission. 50 cases of healthy people were selected as the control group at the same time. The RDW, PLT, MPV and PDW of all specimens were tested by automated hematology analyzer. Results The levels of RDW, MPV and PDW of AMI group were all significantly higher than those of control group （P 〈0.05）. The multivariate Logistic analysis showed that high levels of RDW, MPV and PDW were independent risk factors of acute myocardial infarction. Conclusions High levels of RDW, MPV and PDW are associated with pathogenesis of acute myocardial infarction. Monitoring changes in the RDW and platelet parameters helps for the diagnosis of suspected acute myocardial infarction.
出处
《临床医学工程》
2016年第11期1515-1516,共2页
Clinical Medicine & Engineering
关键词
红细胞分布宽度
血小板计数
平均血小板体积
血小板分布宽度
急性心肌梗死
Red blood cell distribution width
Platelet count
Mean platelet volume
Platelet distribution width
Acute myocardialinfarction
