冠状动脉慢血流现象相关因素分析  

The related factors of coronary slow flow phenomenon's

作　　者：郑海英[1] 

机构地区：[1]内蒙古医科大学附属医院心血管内科,内蒙古呼和浩特010059

出　　处：《中国医药科学》2013年第23期70-71,共2页China Medicine And Pharmacy

摘　　要：目的探讨冠状动脉慢血流现象的临床意义。方法选择冠状动脉造影显示存在慢血流现象但冠状动脉无明显病变的53例患者为慢血流组,并随机选取冠状动脉造影显示血流正常的30例为对照组。比较两组间各项临床指标的差异,对影响慢血流的各项因素进行分析。结果两组患者在性别、年龄、吸烟、高血压、糖尿病、红细胞计数、血红蛋白、白细胞计数、血小板计数、总胆固醇、甘油三酯、低密度脂蛋白、高密度脂蛋白等临床指标方面无统计学差异,而慢血流组患者的平均血小板体积、血尿酸水平均高于对照组,存在统汁学差异,经多元Logistic回归分析表明平均血小板体积增大、血尿酸水平增高是慢血流患者的危险素。结论平均血小板体积、血尿酸水平的升高可能参与慢血流发生的病理生理过程。Objective To investigate the clinical significance of coronary slow flow phenomenon. Methods 53 case of coronary slow phenomenon were randomly divided into treatment group and 30 case coronary slow normal into control group by coronary arteriongraphy. Clinical indicators were compared and the factors of coronary slow flow were analysed. Results There was no significant difference between the two groups about gender, age, smoking, hypertension, diabetes, red blood cell count, hemoglobin, white blood cell count, platelet count, total cholesterol, triglyceride, low density lipoprotein, high density lipoprotein. CSF patients had a higher MPV,a higher level of blood uric acid.Logistic regression showed MPV, blood uric acid were independent predictors of CSF. Conclusion An elevation of MPV and blood uric acid level might be the causes of CSF.

关 键 词：冠状动脉慢血流 平均血小板体积 血尿酸 

分 类 号：R543.3[医药卫生—心血管疾病]