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目的比较并分析老年急性心肌梗死患者治疗前后血常规及血脂水平的改变。方法选择156例老年急性心肌梗死作为疾病组,156例无相关疾病的老年体检者作为对照组,分别在治疗前、治疗24 h后及随访3个月时分别检测红细胞(red blood cell,RBC)、血红蛋白、白细胞、贫血情况、总胆固醇和甘油三酯以及肌酸激酶同工酶变化。结果老年急性心肌梗死患者在治疗前RBC和血红蛋白降低,白细胞增高,贫血发生率增加,总胆固醇和甘油三酯增高,与对照组比较差异具有统计学意义(P<0.05);治疗后,各项指标逐步恢复正常,与治疗前比较差异具有统计学意义(P<0.05);与对照组比较差异无统计学意义(P>0.05)。结论通过临床检验动态监测老年急性心肌梗死患者治疗前后血常规及血脂水平的改变,从而为老年急性心肌梗死的辅助诊断及预后评估提供参考依据。
Objective To compare and analyze the changes of blood routine and blood lipid levels in elderly patients with acute myocardial infarction before and after treatment. Methods A total of 156 elderly patients with acute myocardial infarction were selected as the disease group and 156 elderly patients without related diseases as the control group. Red blood cells (RBCs) were detected before treatment, 24 h after treatment and 3 months after treatment, respectively. , Hemoglobin, white blood cells, anemia, total cholesterol and triglycerides, and creatine kinase isoenzyme changes. Results In the elderly patients with acute myocardial infarction, RBC and hemoglobin decreased, leukocytosis increased, the incidence of anemia increased, total cholesterol and triglyceride increased before treatment, the difference was statistically significant compared with the control group (P <0.05). After treatment, The index gradually returned to normal with a significant difference compared with that before treatment (P <0.05). There was no significant difference compared with the control group (P> 0.05). Conclusion The changes of blood routine and blood lipid level in elderly patients with acute myocardial infarction before and after treatment are dynamically monitored by clinical tests, so as to provide a reference for the diagnosis and prognosis evaluation of elderly patients with acute myocardial infarction.