73例心脏X综合征患者危险因素分析

摘要

目的:探讨心脏X综合征(CSX)的常见危险因素.方法:回顾性调查73例CSX患者设为CSX组;60例冠心病患者即冠心病组和80例健康体检者即对照组,检测其血中性粒细胞与淋巴细胞比率(NLR)、红细胞分布宽度(RDW)、同型半胱氨酸(HCY)及血尿酸浓度等,并分析上述指标与CSX的相关性.结果:CSX组与冠心病组血NLR、RDW、HCY及血尿酸水平明显高于健康对照组(均P<0.05).NLR、RDW、HCY、尿酸是CSX的危险因素,血钙是CSX的保护因素(OR5=0.001,P5=0.003).结论:血NLR、RDW、HCY、尿酸是CSX的独立危险因素;血钙是CSX的保护因素.%Objective: To investigate the common risk factors of cardiac syndrome X(CSX).Methods: Seventy-three cases of CSX, 60 cases of CHD, and 80 healthy subjects were retrospectively investigated.The neutrophil-to-lymphocyte ratio (NLR), red cell distribution width (RDW), homocysteine (HCY) and serum uric acid were measured in all subjects.Results: NLR, RDW, HCY and serum uric acid level were significantly higher in the CSX and CHD groups than in the control group (P<0.05).NLR, RWD, HCY and uric acid levels were possible risk factors that affected CSX (OR1=1.866, P1=0.005;OR2=1.688, P2=0.017;OR3=1.081, P3=0.027;OR4=1.005, P4=0.016).Calcium was a possible protective factor for CSX (OR5=0.001, P5=0.003).Conclusion: NLR, RDW, HCY and uric acid are independent risk factors for CSX.Calcium is a possible protective factor for CSX.