注射毒品致股动脉假性动脉瘤患者血液指标检测分析  

Analysis of Blood Indexes in Patients with Femoral Pseudoaneurysms Caused by Addictive Drug Injection

作　　者：杨玉金[1] 颜兴伟 袁庆文[1] 郑春艳[1] 张欢欢 YANG Yujin;YAN Xingwei;YUAN Qingwen;ZHENG Chunyan;ZHANG Huanhuan(Department of Vascular Surgery of the Second Affiliated Hospital Nanchang University;2015 Grade of Medical Department of Graduated School,Nanchang University;Department of Laboratory Medicine of Donghu District Disease Control Center of Nanchang,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院血管外科 [2]南昌市东湖区疾病控制中心检验科,南昌330006 [3]南昌大学研究生院医学部

出　　处：《实用临床医学（江西）》2017年第11期21-23,41,共4页Practical Clinical Medicine

基　　金：南昌市科技支撑计划(洪财企【2010】95号)

摘　　要：目的了解注射毒品致股动脉假性动脉瘤患者血液指标的变化情况。方法选择注射毒品致股动脉假性动脉瘤患者(观察组)132例和健康体检者(正常对照组)132例,分别检测2组白细胞(WBC)计数、红细胞(RBC)计数、血小板(PLT)计数及血红蛋白(Hb)、中性粒细胞(NEUT)百分率、淋巴细胞(LYM)比率、红细胞比容(HCT)、红细胞平均体积(MCV)、红细胞平均血红蛋白(MCH)、红细胞分布宽度变异系数(RDW-CV)、红细胞分布宽度标准差(RDW-SD)的水平。结果观察组WBC计数、PLT计数、NEUT百分率和RDW-CV水平均高于正常对照组,RBC计数、Hb、LYM、HCT、MCV、MCH水平均低于正常对照组(均P<0.05);观察组男性WBC计数、PLT计数、NEUT百分率和RDW-CV水平均高于正常对照组,RBC计数、Hb、LYM比率、HCT、MCV、MCH和RDW-SD水平均低于正常对照组(均P<0.05);观察组女性WBC计数、NEUT百分率和RDW-CV水平均高于正常对照组,RBC计数、Hb、LYM比率、HCT、MCV、MCH水平均低于正常对照组(均P<0.05)。结论吸毒会增加股动脉假性动脉瘤患者感染的风险,同时也导致吸毒者贫血,及时治疗和干预是减少股动脉假性动脉瘤并发症的发生、确保手术成功及提高患者生活质量的关键。ObjectiveTo investigate the changes in blood indexes in patients with femoral pseudoaneurysms(FPA)caused by addictive drug injection.MethodsWhite blood cell(WBC)count,red blood cell(RBC)count,platelet(PLT)count,hemoglobin(Hb)level,neutrophil(NEUT)percentage,lymphocyte(LYM)ratio,hematocrit(HCT)value,mean corpuscular volume(MCV),mean corpuscular hemoglobin(MCH)concentration,red cell distribution width coefficient variation(RDW-CV)and red blood cell distribution width-standard deviation(RDW-SD)were detected in132patients with addictive drug injection-caused FPA(observation group)and132healthy subjects(control group).ResultsCompared with control group,WBC count,PLT count,NEUT percentage and RDW-CV increased but RBC count,Hb level,LYM ratio,HCT value,MCV,MCH and RDW-SD decreased in observation group(P<0.05).Compared with males in control group,WBC count,PLT count,NEUT percentage and RDW-CV increased but RBC count,Hb level,LYM ratio,HCT value,MCV,MCH and RDW-SD decreased in males in observation group(P<0.05).Compared with females in control group,WBC count,NEUT percentage and RDW-CV increased but RBC count,Hb level,LYM ratio,HCT value,MCV and MCH decreased in females in observation group(P<0.05).ConclusionAddictive drug injection can increase the risk for FPA and cause anemia.Timely treatment and intervention are important to reduce complications,ensure successful operation and improve the quality of life in patients with addictive drug injection-caused FPA.

关 键 词：股动脉假性动脉瘤 毒品 血液 检测 

分 类 号：R543[医药卫生—心血管疾病] R446.1[医药卫生—内科学]