国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2014年
17期
1301-1303
,共3页
王金艳%洪波%孙珍贵%陆志伟%程玉生
王金豔%洪波%孫珍貴%陸誌偉%程玉生
왕금염%홍파%손진귀%륙지위%정옥생
红细胞分布宽度%慢性阻塞性肺疾病%肺动脉高压
紅細胞分佈寬度%慢性阻塞性肺疾病%肺動脈高壓
홍세포분포관도%만성조새성폐질병%폐동맥고압
Red blood cell distribution width%Chronic obstractive pulmonary disease%Pulmonary hypertension
目的 探讨红细胞分布宽度(RDW)与COPD继发肺动脉高压相关性.方法 回顾性分析2012年9月至2013年10月期间入住皖南医学院第一附属医院呼吸科病房COPD的患者临床资料.根据入选标准及排除标准,将72例入选病例分为肺动脉压正常组和增高组,比较两组一般情况、基础疾病情况、RDW和住院时间.结果 肺动脉压增高组RDW明显高于肺动脉压正常组RDW[(15.98±1.78)％vs (14.46±1.36)％],差异具有统计学意义(P＜0.001).而年龄、性别、高血压、糖尿病、冠状动脉粥样硬化性心脏病、血红蛋白、PaO2、PaCO2及住院时间两组之间差异均无统计学意义.Pearson相关性分析结果示RDW与肺动脉高压呈正相关,差异具有统计学意义(r=0.577,P=0.01).结论 在COPD继发肺动脉高压患者体内RDW明显增高,并与肺动脉高压严重程度呈正相关.RDW可作为反应COPD继发肺动脉高压严重程度的有用指标.
目的 探討紅細胞分佈寬度(RDW)與COPD繼髮肺動脈高壓相關性.方法 迴顧性分析2012年9月至2013年10月期間入住皖南醫學院第一附屬醫院呼吸科病房COPD的患者臨床資料.根據入選標準及排除標準,將72例入選病例分為肺動脈壓正常組和增高組,比較兩組一般情況、基礎疾病情況、RDW和住院時間.結果 肺動脈壓增高組RDW明顯高于肺動脈壓正常組RDW[(15.98±1.78)％vs (14.46±1.36)％],差異具有統計學意義(P＜0.001).而年齡、性彆、高血壓、糖尿病、冠狀動脈粥樣硬化性心髒病、血紅蛋白、PaO2、PaCO2及住院時間兩組之間差異均無統計學意義.Pearson相關性分析結果示RDW與肺動脈高壓呈正相關,差異具有統計學意義(r=0.577,P=0.01).結論 在COPD繼髮肺動脈高壓患者體內RDW明顯增高,併與肺動脈高壓嚴重程度呈正相關.RDW可作為反應COPD繼髮肺動脈高壓嚴重程度的有用指標.
목적 탐토홍세포분포관도(RDW)여COPD계발폐동맥고압상관성.방법 회고성분석2012년9월지2013년10월기간입주환남의학원제일부속의원호흡과병방COPD적환자림상자료.근거입선표준급배제표준,장72례입선병례분위폐동맥압정상조화증고조,비교량조일반정황、기출질병정황、RDW화주원시간.결과 폐동맥압증고조RDW명현고우폐동맥압정상조RDW[(15.98±1.78)％vs (14.46±1.36)％],차이구유통계학의의(P＜0.001).이년령、성별、고혈압、당뇨병、관상동맥죽양경화성심장병、혈홍단백、PaO2、PaCO2급주원시간량조지간차이균무통계학의의.Pearson상관성분석결과시RDW여폐동맥고압정정상관,차이구유통계학의의(r=0.577,P=0.01).결론 재COPD계발폐동맥고압환자체내RDW명현증고,병여폐동맥고압엄중정도정정상관.RDW가작위반응COPD계발폐동맥고압엄중정도적유용지표.
Objective To explore the relationship between red blood cell distribution width and pulmonary hypertension secondary to chronic obstructive pulmonary disease (COPD).Methods Retrospective analysis the clinical data of inpatients with COPD in the first affiliated hospital of Wannan medical college during September 2012 and October 2013.According to the inclusion criteria and exclusion criteria,72 cases were divided into pulmonary hypertension group and normal pulmonary artery pressure group.General condition,underlying diseases situation,RDW and length of stay were compared between two groups.Results RDW of pulmonary hypertension was significantly higher than that of the normal pulmonary artery pressure group,(15.98 ± 1.78) ％ vs (14.46 ± 1.36) ％,respectively,which shared with significant statistical difference (P ＜0.001).However,the age,sex,hypertension,diabetes,coronary heart disease,hemoglobin,PaO2,PaCO2 and length of hospital stay of pulmonary hypertension group had no statistical difference with that of normal pulmonary artery pressure group.Pearson correlation analysis showed that RDW had a positively significant correlation with pulmonary hypertension (r =0.577,P =0.01).Conclusions RDW increases significantly in pulmonary hypertension secondary to COPD patients.RDW shared positive correlation with the severity of pulmonary hypertension.RDW may be used as a useful index to reflect the severity of pulmonary hypertension secondary to COPD.
