肯达里市综合医院ST段抬高型急性冠状动脉综合征和无ST段抬高的急性冠状动脉综合症患者白细胞计数分析

MedULA Pub Date : 2022-05-25 DOI:10.46496/medula.v9i2.25462
J. Jamaluddin, Irawaty Irawaty, Fercee Primula
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引用次数: 0

摘要

背景:急性冠状动脉综合征(Acute冠脉综合征,ACS)是一种由动脉粥样硬化斑块破裂引起的冠心病急性并发症,导致血栓形成,管腔变窄,导致血液供应受损和心肌收缩强度下降。动脉粥样硬化过程中炎症的发生以白细胞数量的增加为特征,白细胞数量的增加导致斑块破裂部位白细胞募集增加,被认为在ACS的发病率和预后中起重要作用。目的:本研究的目的是确定STE和NSTE ACS患者白细胞数量的比较。方法:本研究为观察性分析研究。研究设计采用在肯达里市地区总医院进行的横断面研究,自变量为STE和非STE ACS,因变量为白细胞计数。样本数量为73例。根据纳入标准从病历数据中收集数据。使用非配对T检验进行双变量分析以比较白细胞的数量。结果:对73例被调查者的研究发现,STE ACS患者的平均白细胞计数为10.31±3.50 × 103/μL,而NSTE ACS患者的平均白细胞计数为8.62±3.43 × 103/μL (p= 000)。结论:STE型ACS与NSTE型ACS患者白细胞计数有显著差异。
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Analysis of Leukocyte Count in Patients Acute Coronary Syndrome with ST-Segment Elevation and Acute Coronary Syndrome without ST-Segment Elevation at Kendari City General Hospital
Background: Acute coronary syndrome (ACS) is an acute complication of coronary heart disease due to rupture of an atherosclerotic plaque, resulting in the formation of a thrombus, narrowing the lumen, resulting in impaired blood supply and decreased strength of heart muscle contraction. The occurrence of inflammation in the atherosclerotic process is characterized by an increase in the number of leukocytes, which causes increased leukocyte recruitment at the site of plaque rupture and is thought to play an important role in the incidence and prognosis of ACS. Purpose: The aim of this study was to determine the comparison of the number of leukocytes in STE and NSTE ACS patients. Methods: This research was an observational analytic study. The research design used a cross sectional study carried out at the Kendari City Regional General Hospital with the independent variable STE and Non STE ACS and the dependent variable was the leukocytes count. The number of samples was 73 patients. Data were collected from medical record data in accordance with the inclusion criteria.  Bivariate analysis to compare the number of leukocytes using the unpaired T test. Results: Research from 73 respondents found that STE ACS patients had a mean leucocyte count of 10.31±3.50x103/μL while NSTE ACS patients had a mean leukocyte count of 8.62±3.43 x 103/μL (p=0,000). Conclusion: There was a significant difference of leukocyte count in STE ACS and NSTE ACS patients.
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MedULA MEDICINE, GENERAL & INTERNAL-
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