冠心病心绞痛患者血细胞参数的多因素Logistic分析

The logistic analysis of blood cell parameter in coronary heart disease angina patients

目的探讨冠心病患者外周血血细胞参数的临床意义。方法选择101例经冠状动脉造影证实的冠心病心绞痛(CHD)患者,其中稳定性心绞痛(SAP)35例,不稳定心绞痛(ACS)56例,陈旧性心梗10例,男77名,女24名,年龄57.56±8.30岁,同期行冠状动脉造影阴性患者78例做为对照组,男38名,女40名;年龄55.30±7.65岁。用GENS血细胞计数仪分别测定外周血白细胞计数、单核细胞绝对值、红细胞计数、血红蛋白、血小板计数等。结果两组患者的年龄、血脂、高血压史、糖病史等指标均无差异(P>0.05);CHD组的男性患者、吸烟者、血红蛋白及单核细胞绝对值显著高于对照组(P<0.05)。结论冠心病组与对照组进行Logistic多因素回归分析,结果冠心病心绞痛与年龄、高密度脂蛋白、总胆固醇、单核细胞绝对值及血红蛋白具有相关性。

Objective To explore the clinical significance of peripheral blood cell parameter in coronary heart disease（CHD）patients. Methods We chose one hundred and one CHD patients that had proved by coronary artery visualization, 35 with stable angina, 56 with unstable angina, and 10 with old heart infarction,men77, women24,aged57.56±8.30; in the same time we chose sevanty-eight patients as the control group, whic h had negative outcome in coronary artery visualization,men38,woman40, aged55.30±7.65.we detected the blood cell count, mononuclear cells a bsolnte value, red blood count, hentoglobin,blood platelets count and so on by GENS. Results There were no significantly difference in age, blood fat, history of high blood pressure and blood glucose in two groups（P〉0.05）; The patients in CHD group were significantly higher than that of in control group in man, sraoker, the value of hemoglobin and mononuclear cells absolute value were higher too（P〈0.05）. Conclusion The logistic multiple factor regression analysis analysis showed that there were correlation between the coronary heart disease angina and age, high density lipoprotein, total cholesterol, hemoglobin and mononuclear cells absolute value in two groups.