摘要
目的探讨非ST段抬高型急性冠脉综合征(NSTE-ACS)患者经皮冠状动脉介入治疗(PCI)后白细胞水平与预后的关系。方法选择发病48h内成功进行PCI的NSTE-ACS患者142例。术前充分抗血小板治疗,询问病史,术后12h内行血常规检查。随访1年。根据1年内有无主要心脏不良事件(MACE)将患者分为两组。比较两组与预后有关的危险因素、白细胞计数。结果把两组间年龄、性别、吸烟、饮酒、家族史、糖尿病、高血压、高血脂、收缩压、心率、白细胞计数等相关因素进行分析,显示白细胞升高是NSTE-ACS早期PCI患者1年MACE发生率的独立预测因素[OR为5.032,95%CI(2.243-9.433),P=0.0012]。结论PCI后白细胞计数是NSTE-ACS早期PCI患者1年MACE发生率的独立预测因素。
Objective To investigate the relationship between white cell count of patients with non-ST elevation acute coronary syndrome （NSTE-ACS） after percutaneous coronary intervention （PCI） and the prognosis.Methods Totally 142 patients with NSTE-ACS who received PCI successfully within 48 hours of attack were selected.They all received enough anti-platelet treatment before PCI,and their histories of illness were taken.The blood routine was examined within 12 hours after PCI.All the patients were followed up for 1 year.The patients were divided into 2 groups according to whether they were suffering from major adverse cardiovascular events （MACE） within the year.The relevant factors to prognosis and white blood cell count （WCC） of the two groups were compared.Results The involved factors including age,gender,smoking,alcohol drinking,family history,diabetes,hypertension,hyperlipidemia,systolic blood pressure,heart rate and white blood cell（WBC） count of 2 groups were analyzed.It showed that the rise of WBC was an independent predictive factor for the incidence of MACE within one year of the patients with NSTE-ACS who received PCI [OR=5.032,95% CI（2.243-9.433）,P=0.0012].Conclusion The WBC after PCI was an independent predictive factor for the incidence of MACE within one year of the patients with NSTE-ACS who received PCI.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第9期923-924,共2页
Chinese General Practice
关键词
白细胞计数
预后
回归分析
Leukocyte
Prognosis
Regression Analysis
