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冠状动脉慢血流现象与血液生化指标的相关性分析

  • 摘要: 目的:探讨冠状动脉慢血流现象(coronary slow flow phenomenon,CSFP)与血尿酸(UA)、同型半胱氨酸(Hcy)、红细胞压积(Hct)及红细胞分布宽度(RDW)的相关性。方法:对因胸闷、胸痛症状行冠状动脉造影术(coronary angiography,CAG)住院患者的病例资料进行回顾性分析,选择其中CAG显示心外膜冠状动脉无明显狭窄但存在CSFP的121例患者作为CSFP组(SCF组),另将CAG证实心外膜冠状动脉完全正常且血流正常的606例患者设为正常血流组(NCF组)。比较两组患者UA、Hcy、Hct及RDW的差异,并分析CSFP与上述指标、UA与其他生化指标间的相关性。结果:SCF组UA、Hcy、Hct水平均较NCF组升高(P<0.001);两组RDW水平差异无统计学意义。条件Logistic回归分析发现,UA、Hcy、Hct均为CSFP的危险因素;Spearman相关及偏相关性分析示UA与Hcy正相关(P<0.001)。 结论:UA、Hcy、Hct是CSFP发生的危险因素,UA与Hcy可能协同促进CSFP的发生发展

     

    Abstract: Objective:To study the correlation between the coronary slow flow phenomenon (CSFP) and blood uric acid (UA), homocysteine (Hcy), hematocrit (Hct) and red blood cell distribution width (RDW). Methods:The data of coronary angiography (CAG) patients with chest distress and chest pain were retrospectively analyzed. 121 patients with no obvious epicardial coronary artery stenosis but with coronary slow flow phenomenon were selected as the CSFP group (group SCF). 606 patients with completely normal epicardial coronary artery and normal blood flow were set as the normal blood flow group (group NCF). The differences of UA, Hcy, Hct and RDW between the two groups were compared, and the correlation between CSFP and the above indexes, UA and other biochemical indexes was analyzed.Results:The levels of UA, Hcy and Hct in group SCF were higher than those in group NCF (P< 0.001), but there was no significant difference in the level of RDW between the two groups. Conditional Logistic regression analysis showed that UA, Hcy and Hct were all risk factors of CSFP. Spearman correlation and partial correlation analysis showed that UA was positively correlated with Hcy. Conclusions:UA, Hcy and Hct are the risk factors for CSFP, and UA and Hcy may together promote the occurrence and development of CSFP.

     

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