摘要
目的分析各血液检验指标对冠心病患者检测的影响。方法随机选取2019年7月—2021年7月该院55例冠心病患者纳入疾病组,同期选取55名健康者纳入健康组,均行血液指标检验,比较两组血常规指标:血小板计数(PLT)、血小板平均体积(MPV)、血小板压积(PCT)、血小板分布宽度(PDW)、红细胞分布宽度(RDW),炎症指标:超敏C反应蛋白(hs-CRP)、D-二聚体及同型半胱氨酸(Hcy),心肌指标:心肌肌钙蛋白I(cTnI)、肌红蛋白(Mb)、肌酸激酶同工酶(CK-MB)。结果疾病组的PLT(149.64±8.92)×10^(9)/L、MPV(11.08±1.77)fl、PCT(0.23±0.09)%及PDW(16.55±1.40)%和健康组比较,差异无统计学意义(t=0.530、1.257、1.044、1.465,P=0.599、0.212、0.299、0.146);疾病组RDW(16.13±1.11)%比健康组高,差异有统计学意义(t=16.285,P<0.001)。疾病组的hs-CRP(13.90±1.88)mg/L、D-二聚体(0.92±0.23)ng/L、Hcy(9.14±1.33)μmol/L指标比健康组高,差异有统计学意义(t=24.939、15.817、26.814,P<0.001)。疾病组的cTnI(3.49±1.02)μg/L、MB(133.64±10.92)μg/L、CK-MB(67.39±8.12)U/L指标比健康组高,差异有统计学意义(t=25.301、42.008、43.801,P<0.001)。结论各项血液指标的检查中,心肌指标能作为可靠性诊断指标,辅以红细胞和炎症指标检验,能掌握红细胞分布状态,可更为准确地检出冠心病。
Objective To analyze the influence of various blood test indexes on the detection of coronary heart disease patients.Methods 55 patients with coronary heart disease in the hospital from July 2019 to July 2021 were randomly selected and included in the disease group,and 55 healthy people were selected and included in the healthy group during the same period.Blood index test was required for all people,The two groups of blood routine indicators:platelet count(PLT),mean platelet volume(MPV),platelet volume(PCT),platelet distribution width(PDW),red blood cell distribution width(RDW),and inflammatory indicators:high-sensitivity C-reactive protein(hs-CRP),D-dimer and homocysteine(Hcy),myocardial indicators:cardiac troponin I(cTnI),myoglobin(Mb),creatine kinase isoenzyme(CK-MB)were compared.Results The PLT(149.64±8.92)×10^(9)/L,MPV(11.08±1.77)fl,PCT(0.23±0.09)%and PDW(16.55±1.40)%of the disease group compared with the healthy group,the difference was not statistically significant(t=0.530,1.257,1.044,1.465,P=0.599,0.212,0.299,0.146);RDW in the disease group was(16.13±1.11)%higher than that in the healthy group,and the difference was statistically significant(t=16.285,P<0.001).the ratio of hs-CRP(13.90±1.88)mg/L,D-dimer(0.92±0.23)ng/L,Hcy(9.14±1.33)μmol/L in the disease group were higher than that in the healthy group,and the difference was statistically significant(t=24.939,15.817,26.814,P<0.001).The index of cTnI(3.49±1.02)μg/L,MB(133.64±10.92)μg/L,CK-MB(67.39±8.12)U/L in the disease group were higher than those in the healthy group,and the difference was statistically significant(t=25.301,42.008,43.801,P<0.001).Conclusion In the examination of various blood indicators,myocardial indicators can be used as reliable diagnostic indicators,supplemented by red blood cell related and inflammatory indicators tests,can grasp the distribution of red blood cells,and can more accurately detect coronary heart disease.
作者
严俊
YAN Jun(Laboratory Department,First People's Hospital of Xianning City,Xianning,Hubei Province,437000 China)
出处
《系统医学》
2022年第4期9-12,共4页
Systems Medicine
关键词
血液指标
临床效果
心肌指标
检测价值
冠心病
Blood index
Clinical effect
Myocardial index
Detection value
Coronary heart disease
