作　　者： (蒋明链）; (王铁锚）; (宋琼）; (唐家荣）;

机构地区： 华中科技大学同济医学院附属同济医院,武汉430030

出　　处： 《内科急危重症杂志》 2017年第4期325-329,共5页

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.

关 键 词： 综合征 中性粒细胞与淋巴细胞比值 红细胞分布宽度 同型半胱氨酸 尿酸