摘要
目的探讨白细胞与钾离子联合辅助诊断ST段抬高型心肌梗死(STEMI)患者的效果分析。方法回顾性分析我院2015年9月~2016年8月收治的116例心肌梗死患者及同期来我院体检的50例健康体检者的临床资料,比较各组白细胞、钾离子情况及与病情的关系。结果 STEMI组患者的白细胞总数明显比非ST段抬高型心肌梗死(NSTEMI)组和对照组患者多,血钾水平明显比NSTEMI组和对照组患者低(P<0.05);NSTEMI组患者的白细胞总数明显比对照组患者多(P<0.05),但两组的血钾水平差异无统计学意义(P>0.05)。低血钾组患者的白细胞总数明显比高血钾组患者多,低血钾组患者发病至入院时间明显比高血钾组患者短(P<0.05)。Pearson相关分析结果表明,STEMI组患者的血钾水平和白细胞总数呈负相关关系(r=-0.126,P<0.05),血钾水平和发病至入院时间呈正相关关系(r=0.756,P<0.05)。结论白细胞与钾离子联合辅助诊断ST段抬高型心肌梗死患者的效果良好,白细胞与钾离子水平可以作为评估病情的指标。
Objective To investigate the efficacy of leucocyte combined with potassium ion in the diagnosis of patients with ST-elevation myocardial infarction （STEMI）. Methods The clinical data of 116 patients with myocardial infarction admitted from September 2015 to August 2016 in our hospital and 50 healthy people in our hospital during the same period were retrospectively analyzed. The leukocytes, potassium ions and the relationship with the disease between groups were compared. Results The total number of leukocytes in patients with STEMI was significantly higher than that in patients with non-ST-segment elevation myocardial infarction（NSTEMI） and the control group（P〈0.05）. The level of serum potassium in patients with STEMI was significantly lower than that in NSTEMI group and the control group（P〈 0.05）. The total number of leukocytes in the NSTEMI group was significantly greater than that in the control group（P〈 0.05）. However, there was no significant difference between the two groups in the level of serum potassium（P〉O.05）. The total number of leukocytes in the hypokalemia group was significantly higher than that in the hyperkalemia group, and the duration from the onset to admission in the hypokalemia group was significantly shorter than that in the hyper- kalemia group（P〈0.05）. The results of Pearson correlation analysis showed that there was a negative correlation between plasma potassium level and total leukocyte count in STEMI group（r-=-0.126, P〈0.05）. And there was a positive correlation between plasma potassium level and the time from onset to admission（r=0.756, P〈0.05）. Conclusion The combination of leukocytes and potassium ions in the diagnosis of patients with ST-elevation myocardial infarction has a good effect. Leukocyte and potassium levels can be used as indicators to evaluate the condition of disease.
出处
《中国现代医生》
2018年第2期31-33,36,共4页
China Modern Doctor
基金
浙江省科技惠民计划项目(2014H01009)
关键词
ST段抬高型心肌梗死
白细胞
钾离子
联合辅助诊断
ST-segment elevation myocardial infarction
Leukocytes
Potassium ion
Combined auxiliary diagnosis
