阜外医院:O 血型的人心梗时血栓更易自行化开,A型不易化开

2017-07-19 朱柳媛 中国循环杂志

阜外医院李建军教授、南京军区福州总医院林衔亮等发现,ABO 血型与急性心肌梗死患者梗死相关动脉自发再通的发生有关,O 型血有利于患者自发再通的发生,而A 型血不利于自发再通的发生。

阜外医院李建军教授、南京军区福州总医院林衔亮等发现,ABO 血型与急性心肌梗死患者梗死相关动脉自发再通的发生有关,O 型血有利于患者自发再通的发生,而A 型血不利于自发再通的发生。

该研究连续入选1 209 例急性心肌梗死患者,根据TIMI血流程度分为非自发再通组(TIMI 0~1 级,n =442)和自发再通组(TIMI 2~3 级,n =767)。

分析显示,与非自发再通组相比,自发再通组中O 型血较常见(32.3% vs 24.7%),A 型血者较为少见(31.7% vs 24.9%)。

O 型血患者的致动脉粥样硬化性胆固醇(包括总胆固醇和低密度脂蛋白胆固醇)水平明显低于非O 型血患者。

多因素回归分析表明,校正年龄、性别、体重指数、高血压糖尿病、吸烟、低密度脂蛋白胆固醇及C反应蛋白、血沉、纤维蛋白原、D-二聚体、内皮心肌功能等因素后,O型血可独立预测AMI 患者自发再通的发生(OR=1.49),A 型血则不利于自发再通的发生(OR=0.65)。

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1816040, encodeId=b393181604001, content=<a href='/topic/show?id=fc4e9e348b6' target=_blank style='color:#2F92EE;'>#阜外医#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97348, encryptionId=fc4e9e348b6, topicName=阜外医)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c97a2500111, createdName=thinkibmz_44722594, createdTime=Sun Feb 25 12:58:00 CST 2018, time=2018-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226033, encodeId=f808226033ba, content=新知。学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2JlGvwpAibiaovVhfA9DbO7X7JLGGjM4Cic6oMgxLdnuS9piaP9cnG2OwIbkzHvX0qzS1boibyYNqR5vHZu7HQs5EIB/0, createdBy=298d1398341, createdName=lou.minghong, createdTime=Tue Jul 25 07:07:03 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1293636, encodeId=9f1812936367f, content=<a href='/topic/show?id=4c6e9e34931' target=_blank style='color:#2F92EE;'>#阜外医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97349, encryptionId=4c6e9e34931, topicName=阜外医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8942242, createdName=jj000001, createdTime=Fri Jul 21 04:58:00 CST 2017, time=2017-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224220, encodeId=e8ea224220fe, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=98dd1959726, createdName=游手好闲, createdTime=Thu Jul 20 10:52:17 CST 2017, time=2017-07-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=224140, encodeId=0a252241400d, content=不错的方式,努力学习,刻苦专研,不断总结出来新经验。给点个赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Thu Jul 20 07:38:16 CST 2017, time=2017-07-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=223988, encodeId=50c12239886a, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=08bb2061153, createdName=189****7206, createdTime=Wed Jul 19 20:58:51 CST 2017, time=2017-07-19, status=1, ipAttribution=)]
    2017-07-25 lou.minghong

    新知。学习了谢谢分享!

    0

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    2017-07-20 游手好闲

    学习了

    0

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    2017-07-20 ylzr123

    不错的方式,努力学习,刻苦专研,不断总结出来新经验。给点个赞!

    0

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    2017-07-19 189****7206

    学习了谢谢分享

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