不同血液检验指标在冠心病患者中检测分析.docVIP

不同血液检验指标在冠心病患者中检测分析 （四川省内江市资中县人民医院四川内江641200） 目的：分析不同血液指标在冠心病患者临床血液检测中的意义。 方法：选择我院收治的72例冠心病患者为观察组，将其分为心绞痛组（AP组） 38例和急性心肌梗死组（AMI组）34例。另选择我院同期体检的健康者40例为 对照组。分别对观察组和对照组对象的相关血液指标进行检测，括中红细胞分 布宽度、血小板计数、平均血小板体积、血小板分布宽度、血小板压积、高敏心 肌肌钙蛋白T、心肌肌钙蛋白、心肌肌钙蛋白T、肌酸激酶同工酶。结果：观 察组患者的平均RDW指标值高于对照组（P0.05）。观察组患者的平均hs-cTnT、 cTnl、cTnT、CK-MB指标值均显著高于对照组（P0.01）。同时，AMI组患者 的平均hs-cTnT、cTnl、cTnT、CK-MB指标值均显著高于AP组（P0.01）。结 论：在不同的血液检验指标中，RDW升高可作为冠心病患者病情进展判断及预 后评估的重要参考指标。而心肌肌钙蛋白以及肌酸激酶同工酶的检验则有利于冠 心病的临床诊断，且hs-cTnT、cTnT cTnl对于心肌损伤的评估价值要更优于 CK-MBo 关键词 冠心病；血小板相关参数；红细胞分布宽度；心肌肌钙蛋白；肌酸激 酶同工酶 R541.4 B 1003-5028 （2015） 7-0236-02 Analysis of the significance of detection of different blood test indexes in patients with coronary heart disease Yang Bin Li Changjiang Lai Jun （Sichuan Province Neijiang Zizhong Peoples Hospital of Sichuan; the capital in 641200） Abstract Objective: to analyze the significance of detection of different blood test indexes in patients with coronary heart disease. Methods: our hospitalrsquo;s 72 cases of coronary heart disease patients were as observation group, were divided into group angina pectoris (AP) and 38 cases of acute myocardial infarction (AMI group) 34 cases. In addition, 40 cases of normal physical examinees in our hospital were as control group. The observation group and control group objects related blood indicators were tested, including the red blood cell distribution width, platelet count, mean platelet volume and platelet distribution width, platelet deposited, gao min of cardiac troponin T and cardiac troponin, cardiac troponin T, creatine kinase isoenzyme. Results: the observation group of patients with an average of RDW index was higher than the control group (P lt; 0.05). Observation group of patients, on average, the hs - cTnT, cTnl and cTnT, CK - MB index were significantly higher than that of control group (P lt; 0.01). At the same time, patients with AMI group average hs - cTnT, cTnl and cTnT, CK - MB index were significantly higher than that of AP