目的:旨在探讨中性粒细胞/淋巴细胞比值(neutrophil to lymphocyte ratio, NLR)对心房颤动患者射频消融术后复发的预测价值。方法:回顾性选取2018年1月至2022年12月期间在江苏省扬州大学附属医院接受射频导管消融术的心房颤动患者为研...
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目的:旨在探讨中性粒细胞/淋巴细胞比值(neutrophil to lymphocyte ratio, NLR)对心房颤动患者射频消融术后复发的预测价值。方法:回顾性选取2018年1月至2022年12月期间在江苏省扬州大学附属医院接受射频导管消融术的心房颤动患者为研究对象。所有患者均在术后随访1年,根据术后是否发生持续时间 ≥ 30 s的房颤、房扑、房速将患者分为复发组和未复发组。结果:本研究共纳入接受射频导管消融术的心房颤动患者164例,其中男性101例,女性63例,复发组29例,未复发组135例。两组间比较,复发组术前中性粒细胞计数、淋巴细胞计数、NLR、左房内径(left atrial diameter, LAD)高于未复发组,复发组术前高密度脂蛋白胆固醇(HDL-c)低于未复发组,差异有统计学意义(P 0.05)。二元logistic回归分析显示,消融前HDL-c (OR = 0.046, 95%CI = 0.003~0.718, P = 0.028)、NLR (OR = 4.830, 95%CI = 2.118~11.010, P Objective: The purpose of this study was to explore the value of neutrophil to lymphocyte ratio in predicting recurrence after radiofrequency ablation in patients with atrial fibrillation. Methods: Patients with atrial fibrillation who underwent radiofrequency catheter ablation in the Affiliated Hospital of Yangzhou University in Jiangsu Province from January 2018 to December 2022 were retrospectively selected. All patients were followed up for 1 year. According to the occurrence of atrial fibrillation, atrial flutter and atrial tachycardia with duration ≥ 30 s after the operation, the patients were divided into a recurrent group and a non-recurrent group. Result: A total of 164 patients with atrial fibrillation who underwent radiofrequency catheter ablation were included in this study, including 101 males and 63 females, 29 patients with recurrence and 135 patients without recurrence. The preoperative neutrophil count, lymphoid cell count, neutrophil to lymphocyte ratio and left atrial diameter in the recurrent group were higher than those in the non-recurrent group, while the preoperative high density lipoprotein cholesterol in the recurrent group was significantly lower than that in the non-recurrent group (P 0.05). Binary logistic regression analysis showed that HDL-c (OR = 0.046, 95%CI = 0.003~0.718, P = 0.028), NLR (OR = 4.830, 95%CI = 2.118~11.010, P < 0.001) and LAD (OR = 1.225, 95%CI = 1.082~1.386, P = 0.001) were independent risk factors for predicting recurrence of atrial fibrillation a
目的:探讨甲状腺素/游离三碘甲状腺原氨酸(free thyroxine/free triiodothyronine, FT4/FT3)与急性冠脉综合征(acute coronary syndrome, ACS)患者接受经皮冠状动脉介入(percutaneous coronary intervention, PCI)治疗后发生支架内再狭窄(in-stent restenosis, ISR)的相关性,为ACS患者PCI术后出现支架内再狭窄提供一定的参考。方法:回顾性分析于济宁医学院附属医院行冠状动脉支架置入术,并于2021年1月至2022年12月来院复查造影的476例患者的临床资料,根据复查冠脉造影结果将其分为ISR组257例和非ISR组219例。比较两组患者基础资料,通过多因素Logistic回归分析明确冠心病患者发生ISR的影响因素,采用受试者工作特征(ROC)曲线分析FT4/FT3对冠脉支架置入后患者发生ISR的预测价值。结果:ISR组中高血压的患者比例、LDL、FT4/FT3水平高于非ISR组(P Objective: To investigate the correlation between thyroxine/free triiodothyronine (FT4/FT3) and in-stent restenosis (ISR) after percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS). The correlation between PCI and ISR in patients with ACS was analyzed to provide a reference for the occurrence of in-stent restenosis in ACS patients after PCI. Methods: We retrospectively analyzed the clinical data of 476 patients who underwent coronary stenting at the Affiliated Hospital of Jining Medical College and came to the hospital for follow-up angiography from January 2021 to December 2022, and classified them into 257 cases in the ISR group and 219 cases in the non-ISR group according to the results of follow-up coronary angiography. Comparing the basic data of patients in the two groups, we clarified the influencing factors for the occurrence of ISR in patients with coronary artery disease by multifactorial Logistic regression analysis, and analyzed the predictive value of FT4/FT3 for the occurrence of ISR in patients after coronary stent placement by using the subject's work characteristics (ROC) curve. Results: The proportion of patients with hypertension, LDL, and FT4/FT3 levels were higher in the ISR group than in the non-ISR group (P < 0.05), whereas FT3, FT4, LVEF values, and stent diameters were lower in the ISR group than in the non-ISR group (P < 0.05);multifactorial Logistic regression analysis confirmed that FT4/FT3, LDL, and stent diameters were independent risk factors;after cor
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