GAR、MLR与冠心病合并原发性高血压患者的相关性

立杰 柴, 虹 王, 浩 梁, 海超 高

摘要


目的：探讨冠心病合并原发性高血压患者血清 GAR、MLR 的水平及与冠脉病变的相关性。方法：选取 2020 年 8月至 2021 年 8 月因胸痛就诊于某院并行冠脉造影检查的患者 337 例。根据造影结果及是否合并 EH，将患者分为 CHD+EH 组（n=152）、CHD 组（n=71）、EH 组（n=61）、健康对照组（n=53）并分析。结果：与对照组相比，CHD+EH 组、CHD 组BMI、GAR、MLR 升高；CHD+EH 组、CHD 组 MLR、WBC 大于对照组及 EH 组。Spearman 相关分析显示：GAR 与 Gensini评分呈显著正相关 MLR 与 Gensini 评分呈显著正相关。ROC 曲线分析表明：GAR 与 MLR 联合检测，敏感度及阳性预测价值更高。结论：GAR、MLR 可以作为冠心病合并高血压患者冠脉病变严重程度的预测指标，对其诊断具有重要价值。

关键词


冠心病；原发性高血压；CAR；MLR

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参考


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DOI: https://doi.org/10.12346/pmr.v4i1.5447

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