| 血红蛋白和急性冠脉综合征的关系 |
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| 引用本文： | 罗南芬,柳俊,万传意.血红蛋白和急性冠脉综合征的关系[J].岭南心血管病杂志,2011,17(6):486-488. |
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| 作者姓名： | 罗南芬 柳俊 万传意 |
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| 作者单位： | 1. 湖南省浏阳市集里医院心内科,湖南浏阳,410300
2. 中山大学附属第一医院心内科,广州,510080 |
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| 摘 要： | 目的研究急性冠脉综合征患者红细胞水平和心肌梗死、心功能之间的联系。方法Ⅲ充对象为138例因初发急性冠脉综合征进行急诊经皮冠状动脉成形术的患者。分析患者入院时的血红蛋白浓度和冠状动脉病变、心肌梗死发生情况及心功能指标之间的关系。结果急性冠脉综合征患者血红蛋白质量浓度和冠状动脉病变血管数目无相关性（rs=0．32，P=0．108）；与心肌梗死有关OR=1．85，95％CI（1．28～2．03），P=0．021]；与Killip分级呈负相关（rs=-0．73，P〈0．001）；与血清前体脑钠肽浓度呈负相关（rs=-0．82，P〈0．001）；与出院前左心室射血分数呈正相关（rs=0．62，P=0．014）。血红蛋白质量浓度在100～109g／L时，预测无心肌梗死和无心力衰竭的敏感性和特异性最好。结论对于急性冠脉综合征患者，血红蛋白质量浓度与冠状动脉病变血管数目无相关，与心肌梗死和心功能指标相关．100～109g／L可能是急性冠脉综合征患者较理想的血红蛋白质量浓度。
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| 关 键 词： | 冠状动脉疾病 贫血 心肌梗死 血红蛋白 |
Relationship between hemoglobin concentration and acute coronary syndrome |
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| LUO Nan-fen,LIU Jun,WAN Chuan-yi.Relationship between hemoglobin concentration and acute coronary syndrome[J].South China Journal of Cardiovascular Diseases,2011,17(6):486-488. |
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| Authors: | LUO Nan-fen LIU Jun WAN Chuan-yi |
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| Affiliation: | LUO Nan-fen1,LIU Jun2,WAN Chuan-yi1(1.Division of Cardiology,Jili Hospital,Liuyang Hunan 410300,China,2.Department of Cardiology,The First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,China) |
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| Abstract: | Objectives To investigate the relationship among the hemoglobin level,myocardial infarction and heart function.Methods One hundred and thirty-eight patients with acute coronary syndrome admitted for percutaneous coronary intervention were studied.The relationship among hemoglobin concentration,acute myocardial infarction(AMI) and heart function were investigated while those patients were hospitalized.Results Hemoglobin concentration was not associated with the number of stenosised coronary vessels(rs=0.32,P... |
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| Keywords: | coronary artery diseases anemia myocardial infarction hemoglobin |
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