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目的:探讨入院时中性粒细胞与淋巴细胞比值(NLR)对急性冠脉综合征(ACS)患者的预后判断价值。方法:选取自2010年1月至2013年12月间入住我院内科的ACS患者120例作为观察组,120例健康体检者作为对照组。入院时根据血常规结果,按NLR中位值将观察组患者以NLR中位值9.60为界分为高NLR组和低NLR组,比较观察组和对照组受试对象白细胞计数和NLR,比较高NLR组和低NLR组患者的平均住院时间和一年内心血管不良事件发生率。结果:观察组NLR为9.82±1.75明显高于对照组的3.82±0.40,高NLR组ACS患者平均住院时间(13.4±3.5)天高于低NLR组的(9.6±1.2)天,高NLR组一年内心血管不良事件发生率36.7%亦高于低NLR组的16.7%。结论:ACS患者NLR明显增高,是反映ACS患者预后的可靠指标。
Objective: To investigate the prognostic value of neutrophil to lymphocyte ratio (NLR) admission in patients with acute coronary syndrome (ACS). Methods: One hundred and twenty ACS patients admitted to our hospital from January 2010 to December 2013 were selected as observation group and 120 healthy subjects as control group. According to the results of routine blood tests, according to the median NLR, patients in the observation group were divided into high NLR group and low NLR group by NLR median of 9.60. The comparison of the white blood cell count and NLR of the observation group and the control group The mean length of stay and the incidence of cardiovascular adverse events in the NLR and the low NLR groups. Results: The NLR of the observation group was 9.82 ± 1.75, which was significantly higher than that of the control group (3.82 ± 0.40). The mean length of hospital stay (ACS) patients in the high NLR group was (13.4 ± 3.5) days higher than that in the low NLR group (9.6 ± 1.2 days) During the year, the incidence of cardiovascular adverse events was also 36.7% higher than that of the low NLR group (16.7%). Conclusion: The NLR in patients with ACS is significantly increased, which is a reliable indicator of the prognosis of patients with ACS.