红细胞分布宽度对评价急性心肌梗死患者行经皮冠脉介入术预后的价值分析

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Abstract Objective To investigate the value of red blood cell distribution width (RDW) in evaluation of the prognosis of percutaneous coronary intervention (PCI) in patients with acute myocardial infarction.Methods A total of 100 acute myocardial infarction patients with PCI who were admitted to the First People′s Hospital of Jingdezhen City from January 2017 to January 2019 were selected as the research objects.According to the RDW level of blood routine，the optimal threshold was determined as 12.7% based on the receiver operating characteristic curve.The patients were divided into group A(58 cases，RDW＜12.7%)and group B(42 cases，RDW≥12.7%)according to RDW value.They were given postoperative 1 year of follow-up.The left ventricular end-diastolic volume index (EDVI)，left ventricular end-systolic volume index (ESVI)，wall motion score index (WMSI) and the incidence of adverse reactions were compared at different time between the two groups.Results There were no statistically significant differences in the EDVI，ESVI and WMSI between the two groups within 2 d of onset (P＞0.05).After surgery for 1，6 and 12 months，the EDVI，ESVI and WMSI in two groups were lower than those within 2 d of onset，and the differences were statistically significant (P＜0.05).After surgery for 1，6 and 12 months，the EDVI，ESVI and WMSI in group A were lower than those in group B，and the differences were statistically significant (P＜0.05).The total incidence of adverse reactions in group A (5.17%) was lower than that in group B (21.42%)，and the difference was statistically significant (P＜0.05).Conclusion Patients with acute myocardial infarction with RDW＜12.7% have better cardiac function recovery within 1 year after PCI than those with RDW≥12.7%.In addition，the total incidence of adverse reactions is lower and the prognosis is better，which can be used as a reference for clinical judgment of the prognosis of patients with acute myocardial infarction.

Key words： Acute myocardial infarction Red blood cell distribution width Percutaneous coronary intervention Prognostic value

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	Articles by authors
	ZHOU Le-qin
	HE Wei-xi
	XU Hui-lin
	WANG Ping
	LIU Zhi-jian

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ZHOU Le-qin,HE Wei-xi,XU Hui-lin, et al. Value analysis of red blood cell distribution width in the evaluation of the prognosis of percutaneous coronary intervention in patients with acute myocardial infarction[J]. 中国当代医药, 2020, 27(33): 59-61转69.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I33/59

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