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分析.docxVIP

白细胞与钾离子联合辅助诊断ST圈台高型心8JW軌患者 2018-03-21 10:12:00中国现代医生2018年2期 叶士勇胡武明向贻佳曾春来韦铁民 ［摘要］戸的探討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6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，比较各组口细胞、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(P0.05)；NSTEMI组患者的白细胞总数明显比对照组患者多(P0.05), 但两组的血钾水平差异无统计学意义(P0.05)。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(Pv0.05)。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二0.126, P0.05),血钾水平和发病至入院吋间呈 正相关关系(r二0.756, P0.05)。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。 ［关键词］ST段抬高型心肌梗死：白细胞；钾离子；联合辅助诊断 ［中图分类号］R542.22 ［文献标识码］B ［文章编1673-9701 (2018) 02-0031-03 ［Abstract］ 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 an alyzed. The leukocytes, potassium ions and the relati on ship with the disease betwee n 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(P0.05)? The level of serum potassium in patients with STEMI was significantly lower than that in NSTEMI group and the control group (P0.05) . The total number of leukocytes in the NSTEMI group was significantly greater than that in the control group (P0.05) . However, there was no significant differenee between the two groups in the level of serum potassium(P0.05). The total number of leukocytes in the hypokalemia group was significantly higher than that in the hyperkalemia group, and the duratio n from the on set to admissi on in the hypokalemia group was sign ifica ntly shorter tha n that in the hyperkalemia group ( P0.05)? The results of Pears on correlation analysis sh