红细胞分布宽度和左心房容积指数与非瓣膜性心房颤动的关系

红细胞分布宽度和左心房容积指数与非瓣膜性心房颤动的关系

杨青苗,王国宏,周自强,等

首都医科大学附属北京同仁医院心血管中心

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-07-25

Relationship between RDW,LAVI and Non-valvular Atrial Fibrillation

Yang Qing-miao,Wang Guo-hong,ZhouZi-qiang,et al.

Cardiovacular Center,Beijing Tongren Hospital,Capital Medical University

Received:1900-01-01 Revised:1900-01-01 Online:2016-07-25

摘要/Abstract

摘要： 【摘要】目的：探讨红细胞分布宽度(RDW)和左心房容积(LAV)指数(LAVI)与心房颤动（AF）间的关系，筛选早期预测AF的指标。方法：108例非瓣膜性阵发性AF的患者为AF组和84例无AF患者为对照组，两组均进行体格检查和超声心动图影像学检查，全血细胞计数分析了RBC、RDW、中性粒细胞、中性粒细胞/淋巴细胞比值（NLR）及平均红细胞体积。比较两组人口学资料和超声心动图的资料。结果：AF组LAV、LAVI、RDW和hs-CRP均显著高于对照组(P＜0.05)。两组NLR比较无明显差异(P＞0.05)。多元Logistic回归分析显示：升高的LAVI、RDW和hs-CRP是非瓣膜性AF发生的独立预测因子。结论：升高的RDW水平和升高的LAVI可能是独立的非瓣膜性AF发生的预测危险因素。

Abstract: 【ABSTRACT】Objective: To investigate the relationship between red cell distribution width(RDW), left atrial volume(LAV) index(LAVI) and non-valvular atrial fibrillation(AF) and screen the early predictor of AF.Methods:108 cases of patients with non-valvular paroxysmal AF(AF group) and 84 cases without AF patients as control group, two groups were performed physical examination and echocardiograhy,blood cell count analysis the RBC, RDW, neutrophils, neutrophil/lymphocyte ratio (NLR) and mean red cell volume.Comparison of demographic data and echocardiography in two groups.Results:LAV LAVI, RDW and hs-CRP in group AF were significantly higher than those in control group (P＜0.05).There was no significant difference in NLR between the two groups (P＞0.05).Multivariate Logistic regression analysis showed that elevated LAVI, RDW and hs-CRP were independent predictors of the occurrence of non-valvular AF.Conclusion:Increased RDW levels and elevated LAVI may be the independent risk factors for non-valvular AF.

杨青苗,王国宏,周自强,等. 红细胞分布宽度和左心房容积指数与非瓣膜性心房颤动的关系[J]. .

Yang Qing-miao,Wang Guo-hong,ZhouZi-qiang,et al.. Relationship between RDW,LAVI and Non-valvular Atrial Fibrillation[J]. .

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