红细胞分布宽度与急性心肌梗死患者冠状动脉侧支循环形成的关系  

Relationship of coronary collateral circulation formation and red cell distribution width in patients with acute myocardial infarction

作　　者：殷人麟 尤华[1] 顾卫霞[1] 吴雁鸣[1] 叶福龙[1] 陈波[2] 

机构地区：[1]南通大学附属吴江医院心血管内科,江苏省苏州市215200 [2]南京医科大学第一附属医院心血管内科

出　　处：《江苏医药》2017年第13期949-952,共4页Jiangsu Medical Journal

摘　　要：目的探讨红细胞分布宽度(RDW)与急性心肌梗死患者冠状动脉侧支循环(CCC)形成的关系。方法急性心肌梗死患者124例分为CCC不良组(Rentrop 0~1级,66例)和CCC良好组(Rentrop 2~3级,58例),分析RDW等相关指标与CCC形成的关系。结果 CCC良好组RDW低于CCC不良组[(12.75±1.34)%vs.(13.34±1.15)%](P<0.05);CCC良好组血尿酸浓度低于CCC不良组[(316.90±101.17)μmol/L vs.(353.55±102.94)μmol/L](P<0.05)。CCC良好组有吸烟史比例低于CCC不良组(46.55%vs.65.15%)(P<0.05)。Logistic回归分析显示,高RDW是CCC形成不良的独立危险因素[OR=1.511,95%CI(1.111~2.055),P<0.01]。结论急性心肌梗死患者高RDW与CCC形成不良密切相关。Objective To investigate the relationship between red cell distribution width（RDW）and coronary collateral circulation（CCC）formation in the patients with acute myocardial infarction（AMI）.Methods A total of 124 consecutive patients with AMI was classified into two groups of A（with impaired CCC formation,Rentrop grades 0-1,66cases）and B（with good CCC formation,Rentrop grades 2-3,58cases）.The RDW and other indicators were detected and analyzed.Results The RDW value was lower in group B than that in group A[（12.75±1.34）% vs.（13.34±1.15）%]（P〈0.05）.So did the uric acid levels[（316.90±101.17）μmol/L vs.（353.55±102.94）μmol/L]（P〈0.05）.The percentage of patients with a history of smoking was lower in group B than that in group A（46.55% vs.65.15%）（P〈0.05）.Logistic regression analysis showed that the high RDW was an independent risk factor for impaired CCC[OR=1.511,95% CI（1.111-2.055）,P〈0.01].Conclusion The higher RDW is closely related to impaired CCC formation in the patients with AMI.

关 键 词：红细胞分布宽度 急性心肌梗死 冠状动脉侧支循环 

分 类 号：R542[医药卫生—心血管疾病]