中国循环杂志
中國循環雜誌
중국순배잡지
CHINESE CIRCULATION JOURNAL
2014年
10期
767-771
,共5页
陈铀%王春明%李东泽%马依彤%杨毅宁%李晓梅%向阳%于子翔%谢翔
陳鈾%王春明%李東澤%馬依彤%楊毅寧%李曉梅%嚮暘%于子翔%謝翔
진유%왕춘명%리동택%마의동%양의저%리효매%향양%우자상%사상
白细胞计数%血小板计数%ST段抬高型心肌梗死%在院死亡
白細胞計數%血小闆計數%ST段抬高型心肌梗死%在院死亡
백세포계수%혈소판계수%ST단태고형심기경사%재원사망
Leukocytes%Platelet count%ST segment elevation myocardial infarction%In-hospital mortality
目的：探讨白细胞计数和血小板计数联合评分(COL-P评分)对急性ST段抬高型心肌梗死（STEMI）患者急诊经皮冠状动脉介入治疗（PCI）术后在院死亡危险评估的效果。方法：回顾性研究我院2009-11至2013-08的STEMI住院急诊行PCI术的患者共660例，其中生存者572例，死亡者88例。依不同COL-P评分进行分组（COL-P 0分组、COL-P 1分组、COL-P 2分组）统计学分析。结果：660例急诊行PCI术的STEMI患者住院期间死亡者88例。死亡者白细胞计数高于生存者白细胞计数，两者比较差异有统计学意义（P<0.001）；死亡者血小板计数低于生存者血小板计数，两者比较差异有统计学意义（P<0.01）。Logistic回归显示，COL-P评分[COL-P（1 vs 0），OR 4.346，95% CI：2.134-8.850，P<0.001； COL-P(2 vs 0)， OR 10.126，95% CI：4.061-25.250，P<0.001]为STEMI患者急诊PCI术后在院死亡的独立影响因素。COL-P 0分组、COL-P 1分组和COL-P 2分组在院期间死亡率分别为4.9%、15.4%和43.1%，三组比较差异有统计学意义（P<0.001）。结论：COL-P评分是STEMI患者急诊PCI术后住院期间死亡率危险评估的良好评价工具，但对长期死亡率的评估能力还有待进一步研究验证。
目的：探討白細胞計數和血小闆計數聯閤評分(COL-P評分)對急性ST段抬高型心肌梗死（STEMI）患者急診經皮冠狀動脈介入治療（PCI）術後在院死亡危險評估的效果。方法：迴顧性研究我院2009-11至2013-08的STEMI住院急診行PCI術的患者共660例，其中生存者572例，死亡者88例。依不同COL-P評分進行分組（COL-P 0分組、COL-P 1分組、COL-P 2分組）統計學分析。結果：660例急診行PCI術的STEMI患者住院期間死亡者88例。死亡者白細胞計數高于生存者白細胞計數，兩者比較差異有統計學意義（P<0.001）；死亡者血小闆計數低于生存者血小闆計數，兩者比較差異有統計學意義（P<0.01）。Logistic迴歸顯示，COL-P評分[COL-P（1 vs 0），OR 4.346，95% CI：2.134-8.850，P<0.001； COL-P(2 vs 0)， OR 10.126，95% CI：4.061-25.250，P<0.001]為STEMI患者急診PCI術後在院死亡的獨立影響因素。COL-P 0分組、COL-P 1分組和COL-P 2分組在院期間死亡率分彆為4.9%、15.4%和43.1%，三組比較差異有統計學意義（P<0.001）。結論：COL-P評分是STEMI患者急診PCI術後住院期間死亡率危險評估的良好評價工具，但對長期死亡率的評估能力還有待進一步研究驗證。
목적：탐토백세포계수화혈소판계수연합평분(COL-P평분)대급성ST단태고형심기경사（STEMI）환자급진경피관상동맥개입치료（PCI）술후재원사망위험평고적효과。방법：회고성연구아원2009-11지2013-08적STEMI주원급진행PCI술적환자공660례，기중생존자572례，사망자88례。의불동COL-P평분진행분조（COL-P 0분조、COL-P 1분조、COL-P 2분조）통계학분석。결과：660례급진행PCI술적STEMI환자주원기간사망자88례。사망자백세포계수고우생존자백세포계수，량자비교차이유통계학의의（P<0.001）；사망자혈소판계수저우생존자혈소판계수，량자비교차이유통계학의의（P<0.01）。Logistic회귀현시，COL-P평분[COL-P（1 vs 0），OR 4.346，95% CI：2.134-8.850，P<0.001； COL-P(2 vs 0)， OR 10.126，95% CI：4.061-25.250，P<0.001]위STEMI환자급진PCI술후재원사망적독립영향인소。COL-P 0분조、COL-P 1분조화COL-P 2분조재원기간사망솔분별위4.9%、15.4%화43.1%，삼조비교차이유통계학의의（P<0.001）。결론：COL-P평분시STEMI환자급진PCI술후주원기간사망솔위험평고적량호평개공구，단대장기사망솔적평고능력환유대진일보연구험증。
Objective: To study the predictive value of combination scores of leukocyte and platelet counts (COL-P) for in-hospital mortality in patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI) treatment. Methods: A total of 660 STEMI patients with emergent PCI in our hospital from 2009-11 to 2013-08 were retrospectively studied. The patients were divided into 3 groups according to COL-P scores: COL-P0 group,n=283, COL-P1 group,n=319 and COL-P3 group,n=58. The relationship between the in-hospital mortality and COL-P scores was analyzed among different groups. Results: There were 88/660 in-hospital death. The patients in death group had the higher white blood cell count and lower platelet count than those in survival group, bothP<0.01. Logistic regression analysis indicated that compared with COL-P0 group, the COL-P scores at COL-P1 level (OR 4.346, 95% CI 2.134-8.850,P<0.001) and COL-P2 level (OR 10.126, 95% CI 4.061-25.250,P<0.001) were the independent risk factors for in-hospital death in STEMI patients after emergent PCI. The in-hospital mortality in COL-P0, COL-P1 and COL-P2 groups were at 4.9%, 15.4% and 43.1% respectively, allP<0.001. Conclusion: COL-P score was useful for predicting the in-hospital mortality in STEMI patients after emergent PCI, while the long term mortality estimation should be further studied.
