血小板参数与ACS患者冠脉病变程度的相关性  

Relationship between level of platelet parameters and severity of coronary artery disease in patients with acute coronary syndrome.

作　　者：郭庆[1] 林国生[1] 

机构地区：[1]武汉大学人民医院心内科,湖北武汉430060

出　　处：《中国误诊学杂志》2011年第14期3283-3285,共3页Chinese Journal of Misdiagnostics

摘　　要：目的探讨急性冠脉综合征患者(ACS)血小板参数水平与其冠脉病变严重程度之间的关系。方法收集ACS患者102例及无缺血性心脏病对照组50例。所有入选者术前空腹采血测定血小板参数。ACS患者行冠状动脉造影及冠脉狭窄程度的评分(Gensini评分)。结果 ACS患者MPV,P-LCR较正常对照组显著升高。而PDW,PCT与对照组相比差异无统计学意义。所有ACS患者冠脉病变支数与Gensini评分均随MPV与P-LCR水平的升高而增长。结论早期监测血小板参数的相关变化对于急性冠脉综合征患者病情的诊断和控制可能具有积极作用。Objective To investigate the relationship between the level of platelet parameters and the severity of coronary artery disease in patients with acute coronary syndrome（ACS）.Methods 102 patients with ACS and 50 patients without ischemia heart disease were selected.Platelet parameters of all patients were mensured by collecting venous blood.Coronary arteriongraphy and Gensini scores of 102 patients with ACS were implemented.Results MPV and P-LCR on patients with ACS were increased.But there were no significant differences between PDW and PCT compared with the control group.Among all patients,the number of diseased vessels and Gensini scores grew by the increased MPV and P-LCR.Conclusions In order to diagnose ACS and control this disease,it＇s very important to detect changes in platelet parameters earlier.

关 键 词：血小板计数 冠状动脉疾病/病理学 急性病 综合征 

分 类 号：R541.4[医药卫生—心血管疾病]