CAJ | 학술논문

目的探讨非ST段抬高型急性冠脉综合征(NSTE-ACS)患者经皮冠状动脉介入治疗(PCI)后白细胞水平与预后的关系.方法选择发病48 h内成功进行PCI的NSTE-ACS患者142例.术前充分抗血小板治疗,询问病史,术后12 h内行血常规检查.随访1年.根据1年内有无主要心脏不良事件(MACE)将患者分为两组.比较两组与预后有关的危险因素、白细胞计数.结果把两组间年龄、性别、吸烟、饮酒、家族史、糖尿病、高血压、高血脂、收缩压、心率、白细胞计数等相关因素进行分析,显示白细胞升高是NSTE-ACS早期PCI患者1年MACE发生率的独立预测因素[OR为5.032,95%CI(2.243-9.433),P=0.0012].结论 PCI后白细胞计数是NSTE-ACS早期PCI患者1年MACE发生率的独立预测因素.
목적 탐토비ST단태고형급성관맥종합정(NSTE-ACS)환자경피관상동맥개입치료(PCI)후백세포수평여예후적관계.방법 선택발병48 h내성공진행PCI적NSTE-ACS환자142례.술전충분항혈소판치료,순문병사,술후12 h내행혈상규검사.수방1년.근거1년내유무주요심장불량사건(MACE)장환자분위량조.비교량조여예후유관적위험인소、백세포계수.결과 파량조간년령、성별、흡연、음주、가족사、당뇨병、고혈압、고혈지、수축압、심솔、백세포계수등상관인소진행분석,현시백세포승고시NSTE-ACS조기PCI환자1년MACE발생솔적독립예측인소[OR위5.032,95%CI(2.243-9.433),P=0.0012].결론 PCI후백세포계수시NSTE-ACS조기PCI환자1년MACE발생솔적독립예측인소.
Objective To investigate the relationship between white cell count of patients with non-ST elevation acute coronary syndrome (NSTE-ACS) after percutaneous coronary intervention (PCI) and the prognosis.Methods Totally 142 patients with NSTE-ACS who received PCI successfully within 48 hours of attack were selected.They all received enough anti-platelet treatment before PCI,and their histories of illness were taken.The blood routine was examined within 12 hours after PCI.All the patients were followed up for 1 year.The patients were divided into 2 groups according to whether they were suffering from major adverse cardiovascular events (MACE) within the year.The relevant factors to prognosis and white blood cell count (WCC) of the two groups were compared.Results The involved factors including age,gender,smoking,alcohol drinking,family history, diabetes, hypertension, hyperlipidemia, systolic blood pressure,heart rate and white blood cell(WBC) count of 2 groups were analyzed.It showed that the rise of WBC was an independent predictive factor for the incidence of MACE within one year of the patients with NSTE-ACS who received PCI [OR=5.032,95% CI(2.243-9.433),P=0.0012].Conclusion The WBC after PCI was an independent predictive factor for the incidence of MACE within one year of the patients with NSTE-ACS who received PCI.