研究冠心病治疗中血小板指数的相关性

MOHAMMED IMRAN KHAN, AIZAZ FATIMA, SURYA TIWARI
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引用次数: 0

摘要

研究目的本研究旨在评估血小板参数是否与冠状动脉疾病(CAD)的严重程度相关,是否可被视为危险因素;因此,本研究对 CAD 患者的血小板参数进行了评估:本研究在索引医学院医学系、医院和研究中心进行。60 名 CAD 患者被纳入研究,并与 60 名同龄的正常健康人进行比较。符合纳入和排除标准的患者均被纳入研究,研究人员首先在患者入院时对其血液样本进行血小板指数分析,然后在抗血小板治疗后对其血液样本进行重复分析:结果:与对照组相比,治疗前病例的血小板平均体积(p<0.001)和血小板分布宽度(p<0.001)浓度明显较高。与对照组相比,治疗前病例的血小板总计数明显偏低(p<0.001):血小板与动脉粥样硬化等心血管疾病的发生及其严重后果(如急性心肌梗死、不稳定型心绞痛和心脏性猝死)有关。评估血小板指数被认为是确定血小板功能的一个重要因素,也被认为是动脉粥样硬化血栓形成的一个有前途的风险指标。
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STUDY OF CORRELATION OF PLATELET INDICES IN THE MANAGEMENT OF CORONARY ARTERY DISEASE
Objectives: The current study aimed to assess whether platelet parameters are associated with the severity of coronary artery disease (CAD) and may be regarded as risk factors; therefore, this study was done to evaluate platelet parameters in patients with CAD. Methods: This study was carried out in the Department of Medicine of Index Medical College, Hospital and Research Center. 60 CAD patients were enrolled in the study and were compared with 60 normal, healthy individuals of the same age. Those fulfilling inclusion and exclusion criteria were enrolled in the study, and the blood samples were analyzed for platelet indices firstly at the time of admission and then repeated following antiplatelettherapy. Results: Significantly higher concentrations of mean platelet volume (p<0.001) and platelet distribution width (p<0.001) were found in cases beforetreatment when compared with the controls. A significantly lower value of total platelet count (p<0.001) was found in cases before treatment when compared with the controls. Conclusion: Platelets have been associated with the development of cardiovascular diseases such as atherosclerosis and its severe outcomes such as acute myocardial infarction, unstable angina, and sudden cardiac death. The evaluation of platelet indices is considered an important factor in determining the functionality of platelets and is recognized as a promising risk indicator for atherothrombosis.
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