急性心肌梗死患者入院后CRP及WBC水平与住院期间死亡的相关性研究

摘要

Objective:To study the correlation of CRP and WBC content with risk of death in AMI pa-tients admitted to hospital. Method:281 AMI patients treated from January 2008 to January 2013 in our hos-pital were selected. The clinical data and laboratory examination data were analyzed. By logistic regression a-nalysis, the correlation of CRP and WBC content with risks of death was investigated. Result:The death rate of AMI patients gradually increased with the higher CRP and WBC content ( P<0.05); based on the refer-ence of lowest marks of CRP and WBC contents, OR value (95%CI) in patients with highest marks was 1. 80(0.90~3.58) and 4.47(2.12~9.40).Conclusion:The increasing CRP and WBC content has a close re-lationship with the risk of death in AMI patients upon being admitted to hospital.%目的:探讨急性心肌梗死( Acute Myocardial Infarction,AMI)患者入院后C反应蛋白( C-reactive protein,CRP)及白细胞(WBC)水平与住院期间死亡的相关性. 方法:选择2008年1月至2013年1月我院收住的AMI患者共281例,对所有AMI 患者的临床资料及实验室检查等进行统计分析.采用Logistic回归分析CRP、WBC水平与患者住院期间死亡的关系. 结果:Logistic回归分析显示,随着CRP 与WBC水平的升高,AMI患者的死亡率亦呈现逐渐升高的趋势( P<0.05);以CRP 与WBC最低分位作为参比,最高分位的患者发生死亡的OR值(95%CI)分别为1.80(0.90~3.58)、4.47(2.12~9. 40). 结论:CRP 及WBC水平的上升与AMI患者住院期间死亡的危险性具有密切相关性.