冠心病患者血白细胞计数的临床价值

目的　探讨白细胞升高在急性心肌梗死 (AMI)、不稳定性心绞痛 (UA)和稳定性心绞痛 (SA)中的临床意义。方法　测定 35例AMI、40例UA和 42例SA患者血白细胞总数及中性粒细胞值 ,并对冠状动脉狭窄程度进行统计。结果血白细胞计数AMI组明显高于UA组和SA组 (P <0 .0 1 ) ,后两者相比亦具有显著性差异 (P <0 .0 5) ;中性粒细胞值AMI组明显高于UA组和SA组 (P <0 .0 1 ) ,而后两者相比 ,无统计学差异 (P >0 .0 5)。AMI组、UA组与SA组血白细胞计数和中性粒细胞值与冠状动脉狭窄程度无相关性 (P >0 .0 5)。结论　AMI患者中白细胞计数明显升高 ;三组患者白细胞计数与冠状动脉狭窄程度无关。

The Clinic Value of Leukocyte Counts in Patients with Coronary Artery Disease

Objective To determine the clinic value of leukocytosis in patients with acute myocardial infarction(AMI),unstable angina pectoris(UA)and stable angina pectoris(SA).Methods 35 patients with AMI, 40 patients with UA and 42 patients with SA were prospectively studied, total leukocyte counts and neutrophil counts as well as the extent of coronary stenosis were measured. Results The leukocyte counts in patients with AMI were significant higher than in those with UA or SA (P<0.01), while comparing the latter two, also showed statistic significance (P<0.05); the neutrophil counts were significant higher than in those with UA or SA (P<0.01), while comparing the latter two, showed no statistic significance (P>0.05). The total leukocyte counts and neutrophil counts were negatively correlated with the extents of coronary stenosis whatever in patients with AMI, UA or SA.Conclusions Leukocyte counts obviously elevated in patients with AMI; Leukocyte counts are negatively correlated with the extent of coronary stenosis in patients with AMI,UA and SA.