冠脉临界病变病人涩脉与常规检测指标的回归分析

摘要

Objective The purpuse of the study is to evaluate the relationship between sluggish pulse and routine clinical laboratory test parameters of intermediate coronary stenosis patients. Methods Eighty patients were divided into two groups according to whether or not sluggish pulse existed.Medical history and clinical parameters of intermediate coronary stenosis patients were col ect-ed and statistical y analyzed.Results Compared with non sluggish pulse group,the value of prothrombin time(PT)in the sluggish pulse group was significantly lower,TG was higher. Regression analysis showed that only the PT into the equation (OR=0.399, 95% CI 0.181 to 0.878,P=0.022).When activation part thrombin time(APTT),fibrinogen(FIB),D dimer(D D)and other coagula-tion factors under correction,PT was stil considered to be an independent risk factor of sluggish pulse (OR=0.338,95% CI=0.129 to 0.887,P=0.028).Conclusion PT is closely related to the existence of sluggish pulse in patients with intermediate coronary ste-nosis.The potential usefulness of routine clinical laboratory test parameters in TCM syndrome diagnosis needs to be further dis-cussed.%目的：分析冠脉临界病变病人实验室常规检测指标与涩脉之间的关系。方法收集80例冠脉临界病变病人病史及实验室数据。依据是否存在涩脉脉象将病人分为两组,进行统计分析。结果涩脉组病人较无涩脉组凝血酶原时间(PT)、三酰甘油(TG)和平均血红蛋白浓度比较差异有统计学意义；其余指标差异无统计学意义。回归分析发现：PT进入方程(OR=0.399,95%CI 0.181~0.878,P=0.022)。在部分凝血活酶时间(APTT)、纤维蛋白原(FIB)和 D 二聚体(D D)等其他凝血指标因素的校正下,PT认为是涩脉独立危险因素(OR=0.338,95%CI 0.129~0.887,P=0.028)。结论 PT与冠脉临界病变病人涩脉脉象密切相关。