热毒血瘀证AMI患者发生电风暴与NLR、PLR水平的关系

Relationship Between Electric Storm and NLR,PLR Levels in AMI Patients with Heat Toxin and Blood Stasis Syndrome

目的探讨热毒血瘀证急性心肌梗死(AMI)患者发生电风暴与NLR、PLR水平的关系。方法收集我院2013年3月至2017年3月42例辨证为热毒血瘀证的AMI患者发生电风暴并符合纳入标准和排除标准的为A组,选取同时间段符合标准的热毒血瘀证AMI未发生电风暴48例为B组。同时以相同时间段内选取100例来我院体检者为C组。根据3组血液分析的数值,比较A、B、C 3组在中性淋巴细胞比值(NLR)、血小板淋巴细胞比值(PLR)水平上的差异。结果 A组与B组、C组之间,B组与C组之间在WBC、NEU、LYM、PLT、NLR、PLR的水平上有显著差异(P<0.05~0.01)。结论热毒血瘀证的AMI患者发生电风暴与升高的NLR、PLR有关,高水平的NLR、PLR情况下,AMI患者更易发生电风暴。

OBJECTIVE To explore the relationship between electric storm and NLR,PLR levels in acute myocardial infarction(AMI)patients with heat toxin and blood stasis syndrome.METHODS From March 2013 to March 2017,42 cases of AMI patients with heat toxin and blood stasis suffered from electric storm and those who met the inclusion and exclusion criteria were group A,while 48 cases of AMI patients with heat toxin and blood stasis that met the criteria at the same time were selected as group B.At the same time,100 patients who came to our hospital for physical examination were selected as group C within the same time period.According to the values of blood analysis of the three groups,the differences of neutrophil lymphocyte ratio(NLR)and platelet lymphocyte ratio(PLR)between groups A,B and C were compared.RESULTS Compared with group A,group B and group C,the levels of WBC,NEU,LYM,PLT,NLR and PLR in group B and group C were significantly different(P<0.05,P<0.01).CONCLUSION The occurrence of electric storm in AMI patients with heat toxin and blood stasis syndrome is related to the increased NLR and PLR.Under the high level of NLR and PLR,AMI patients are more prone to electric storm.