首页|外周血炎症因子与冠心病分型及冠脉病变程度的相关性

外周血炎症因子与冠心病分型及冠脉病变程度的相关性

Association of peripheral blood inflammatory factors with type and severity of coronary heart disease

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目的:观察外周血炎症因子在不同类型冠心病中的变化,探讨其与冠心病的分型及病变程度的相关性.方法:回顾性分析2021年5月~2022年8月在新疆维吾尔自治区人民医院经冠脉造影确诊为冠心病的255例患者的临床资料,其中急性心肌梗死(AMI)组150例、不稳定型心绞痛(UAP)组55例,稳定型心绞痛(SAP)组50例,同时选取同期55例健康体检者作为对照组.根据冠脉造影结果,将所有患者分为单支病变组(60例)、双支病变组(102例)及多支病变组(93例);根据Gensini积分,将AMI患者分为冠脉病变轻度狭窄组(53例)、中度狭窄组(59例)及重度狭窄组(38例).对各组患者基本资料及外周血炎症因子进行比较.结果:不同类型及不同病变支数的冠心病患者的外周血白细胞计数、中性粒细胞计数、淋巴细胞计数、中性粒细胞/淋巴细胞比值(NLR)及C反应蛋白(CRP)水平均存在显著性差异(P均<0.001).Pearson相关分析显示,AMI患者病变支数和病变程度(Gensini积分)均与白细胞计数、中性粒细胞计数、NLR、CRP水平呈正相关(r=0.294~0.923,P均<0.001),与淋巴细胞计数呈负相关(r=-0.693、-0.906,P均<0.001).结论:外周血白细胞计数、中性粒细胞计数、淋巴细胞计数、NLR及CRP与冠心病的分型及病变严重程度有密切关系.
Objective:To observe the changes of peripheral blood inflammatory factors in different types of coronary heart disease(CHD),and explore their association with the type and severity of CHD.Methods:This retrospective study enrolled 255 patients who admitted in People's Hospital of Xinjiang Uygur Autonomous Region between May 2021 and August 2022 and were diagnosed as CHD via coronary angiography(CAG),including 150 cases with acute myocardial infarction(AMI),55 cases with unstable angina pectoris(UAP)and 50 cases with stable angina pectoris(SAP),meanwhile 55 healthy subjects undergoing physical examination simultaneously were regarded as control group.According to CAG results,all patients were divided into single vessel coronary disease group(n=60),double vessel coronary disease group(n=102)and multi-vessel coronary disease group(n=93);according to Gensini score,AMI patients were divided into mild stenosis group(n=53),medium stenosis group(n=59)and severe ste-nosis group(n=38).Baseline data and peripheral blood inflammatory factors were compared among above-men-tioned groups.Results:There were significant difference in peripheral white blood cell count,neutrophil count,lymphocyte count,neutrophil-to-lymphocyte ratio(NLR)and C reactive protein(CRP)among CHD patients with different types and number of diseased vessels(P<0.001 all).Pearson correlation analysis indicated that num-ber of diseased vessels and disease severity(Gensini score)were positively correlated with white blood cell count,neutrophil count,NLR and CRP levels(r=0.294~0.923,P<0.001 all),and negatively correlated with lympho-cyte count(r=-0.693,-0.906,P<0.001 all).Conclusion:Peripheral white blood cell count,neutrophil count,lymphocyte count,NLR and CRP are closely related to the type and severity of coronary heart disease.

Coronary diseaseInflammationCoronary stenosis

徐莉、姚娟、燕建锋、方舒、萨维达姆·艾克木、高洁

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新疆维吾尔自治区人民医院心内科,新疆乌鲁木齐 830001

冠心病 炎症 冠状动脉狭窄

2024

心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
年,卷(期):2024.33(6)