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目的:研究脑梗死、冠心病和高血压老年患者的血清白蛋白、血小板体积以及红细胞分布宽度的相关性。方法:选取我院2010年3月到2011年3月收治的老年脑梗阻患者60例,作为脑梗阻组;选取同期高血压或冠心病老年患者50例,为单纯高血压和冠心病组;选取同期没有高血压、冠心病或脑梗死的老年患者34例,作为对照组。分别对三组患者的血液样品进行血清白蛋白(Alb)、血小板体积(MCV)以及红细胞分别宽度(RDW)进行检测。结果:脑梗阻组患者血液中的血清白蛋白量最低,与高冠组和对照组对比,均有显著性差异(P<0.01);脑梗阻组患者的血小板体积最高,对照组最低,脑梗阻与另外两组对比,有显著性差异(P<0.01)。同样,脑梗阻患者的血小板分布宽度也是最大,对比另外两组,有显著性差异(P<0.01)。结论:老年冠心病或高血压患者并发脑梗死时,其体内的血清白蛋白会下降,血小板体积会增大,红细胞分布宽度会增加。
Objective: To study the correlation between serum albumin, platelet volume and distribution width of red blood cells in elderly patients with cerebral infarction, coronary heart disease and hypertension. Methods: Sixty elderly patients with cerebral infarction admitted to our hospital from March 2010 to March 2011 were selected as the cerebral infarction group. 50 elderly patients with hypertension or coronary heart disease were selected as the hypertension and coronary heart disease group. In the same period, there were 34 elderly patients without hypertension, coronary heart disease or cerebral infarction as the control group. Blood samples of three groups were tested for serum albumin (Alb), platelet volume (MCV) and erythrocyte width (RDW) respectively. Results: The amount of serum albumin in the blood of patients with cerebral infarction was the lowest, which was significantly different from that of the patients in high crown and control groups (P <0.01). The volume of platelet in the patients with cerebral infarction was the highest, the lowest in the control group, Compared with the other two groups, there was a significant difference (P <0.01). Similarly, patients with cerebral infarction also had the largest platelet distribution width, compared with the other two groups (P <0.01). Conclusion: In the elderly with coronary heart disease or hypertensive patients complicated by cerebral infarction, the body’s serum albumin will decline, the platelet volume will increase, the distribution width of red blood cells will increase.