Clinical Value of Platelet Distribution Width Ratio and Neutrophil Lymphocyte Ratio in the Evaluation of Coronary No-Reflow in Patients Treated by Emergency PCI
10.13241/j.cnki.pmb.2017.25.013
- VernacularTitle:红细胞分布宽度血小板比率和中性粒细胞淋巴细胞比率在急诊PCI术后冠脉无复流评估中的应用价值
- Author:
Linxia SUN
;
Min MA
;
Lamei JIN
;
Qionghua SHE
;
Juan YAN
;
Yong HE
- Keywords:
Red blood cell distribution width platelet ratio;
Neutrophil lymphocyte ratio;
Emergency percutaneous coronary intervention;
Coronary artery;
No reflow
- From:
Progress in Modern Biomedicine
2017;17(25):4856-4859,4868
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical value ofplatelet distribution width ratio (RDW) and neutrophil lymphocyte ratio (NLR) in the prediction of coronary no reflow in patients treated with acute percutaneous coronary intervention (PCI).Methods:66 patients underwent emergency PCI treatment in our hospital from January 2016 December 2016 were selected as the research object,RDW and NLR of the patients before treatment were detected,and coronary no reflow phenomenon after emergency PCI rate were statistically calculated.RDW and NLR of patients with no reflow and normal blood flow were compared,the relationship between RDW and NLR with no reflow and the value of them predicting coronary no reflow were analyzed.Results:The incidence of coronary no reflow after emergency PCI was 30.30％ (20/66).Compared with patients with normal blood flow,the RDW and NLR of patients with coronary no reflow were elevate (P＜0.05).Spearman correlation analysis results showed that RDW and NLR were positively correlated with coronary no reflow (r=0.826,0.878,P＜0.05).Further ROC curve analysis showed that AUC of preoperative RDW combined with NLR predicting the postoperative coronary no reflow in patients treated with emergency PCI were higher than RDW and NLR alone.Conclusion:RDW and NLR in patients treated with emergency PCI were closely related to the postoperative coronary no reflow,which might be used as reference index for evaluation of coronary no reflow after emergency PCI.
