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目的探讨脑梗死时血小板四项参数的变化及意义。方法对60例脑梗死患者及60例健康中老年人进行血小板数目(PLT)、平均血小板体积(MPV)、血小板分布宽度(PDW)及血小板压积(PCT)检测和分析。结果与对照组比较,脑梗死急性期患者的PLT及PCT明显减少(P<0.05),MPV和PDW明显增加(P<0.01),且脑梗死急性期患者的PLT及PCT明显低于恢复期患者,MPV和PDW明显高于恢复期患者。结论监测血小板参数的变化可以发现脑梗死的危险人群,宜及早进行干预。
Objective To investigate the changes and significance of four parameters of platelets during cerebral infarction. Methods The platelet number (PLT), mean platelet volume (MPV), platelet distribution width (PDW) and platelet pressure (PCT) were measured and analyzed in 60 patients with cerebral infarction and 60 healthy elderly people. Results Compared with the control group, PLT and PCT were significantly decreased (P <0.05), MPV and PDW were significantly increased in acute stage of cerebral infarction (P <0.01), and PLT and PCT in acute cerebral infarction patients were significantly lower than those in convalescent patients , MPV and PDW were significantly higher than those in convalescent patients. Conclusion Monitoring changes in platelet parameters can be found in people at risk of cerebral infarction, it is appropriate to intervene as soon as possible.