血清胆红素与冠状动脉粥样硬化范围的关系(附103例分析)  

Relationship between Serum Bilirubin and Rang of Coronary Scleratheroma

作　　者：李原风[1] 兰玉怀[1] 李秀荣[1] 

机构地区：[1]黑龙江省医院心内科,黑龙江哈尔滨150001

出　　处：《黑龙江医学》2006年第7期485-486,共2页Heilongjiang Medical Journal

摘　　要：目的探讨血清胆红素与冠状动脉粥样硬化范围的关系。方法根据冠状动脉粥样硬化受累范围对接受过冠状动脉造影的103例患者分成5组,以血清胆红素、血脂、血糖及血压为指标,进行统计分析。结果间接胆红素越低,冠状动脉粥样硬化范围越广,尤其是3支主要冠状动脉受累病人间接胆红素明显低下(P<0.05);血清总胆固醇和低密度脂蛋白在单支或双支冠状动脉受累者明显增加(P<0.05);血糖和血压也在单支或双支冠状动脉受累者明显增加(P<0.05)。结论间接胆红素是冠状动脉粥样硬化的基本背景因素,而血脂、血糖或血压只在某一环节上,有促进冠状动脉粥样硬化的作用。Objective To discuss the rehfionship between serum bilrubin and rang of coronary scleratheroma. Methods 103 cases of coronary heart disease patient who underwent angiography as the involved range of scleratheroma were divided into 5 groups. The serum bilirubin, lipid, glucose and blood pressure were analyzed statistically. Results The large involved range of scleratheroma, the lower of indirect bflirubin, especially involved main three branches of coronary artery. The total cholesterol and LDL were increased in single and double branches involved branches as wall as glucose and Bp （ P 〈 0.05）. Conclusion indirect bilirubin might he mainly basic factor of coronary scleratheroma. The lipid, glucose and Bp might he pnanoting factors of coronary artery in certain stage.

关 键 词：胆红素 冠关动脉粥要硬化 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]