冠心病患者血清胆红素与尿酸的检验价值分析  

Clinical significance of serum bilirubin and uric acid levels in patients with coronary heart disease

作　　者：何小英[1] 闫彩平[1] 凌文辉[1] 

机构地区：[1]广东省珠海市人民医院,广东珠海519000

出　　处：《心血管病防治知识（学术版）》2013年第2期22-24,共3页Prevention and Treatment of Cardiovascular Disease

摘　　要：目的观察血清胆红素与尿酸对冠心病患者的检验价值。方法从我院收治入院的冠心病患者中抽取35例组成观察组,另从同期正常体检人群中抽取35例作为对照组,对两组患者进行血常规检测,并对比其血尿酸与血清总胆红素、血清直接胆红素的水平。结果观察组患者的血尿酸水平明显高于对照组,而血清总胆红素水平则明显低于对照组;多支动脉出现病变患者相较单支病变患者血尿酸水平明显升高,而血清胆红素水平明显下降,以上差异均有统计学意义(P﹤0.05);两组患者血清直接胆红素水平相近,差异不具有统计学意义(P﹥0.05)。结论冠心病患者的血清总胆红素与尿酸水平与正常人差异较大,且这两项指标对冠状动脉病情的发展有一定的提示作用,因此可以在临床上作为冠心病患者的检查指标。Objective To investigate the clinical significance of serum bilirubin and uric acid levels in patients with coronary heart disease （CHD）. Methods Thirty-five CHD patients who were admitted to our hospital were selected as an observation group; meanwhile, 35 healthy persons who received physical examination were selected as a control group. Both groups underwent blood routine test and were then compared in terms of serum uric acid level, serum total bilirubin level, and serum direct bilirubin level. Results Compared with the control group, the observation group showed a significantly higher serum uric acid level （P〈0.05） but a significantly lower serum total bilirubin level （P〈0.05）. Compared with those with only one artery affected, the CHD patients with more than one artery affected had a significantly higher serum uric acid level （P〈O.05） but a significantly lower serum bilirubin level（P〈O.05）. There was no significant difference in serum direct bilirubin level between the two groups （P〉0.05）. Conclusion There are significant differences in serum total bilirubin level and serum uric acid level between CHD patients and healthy people, and the two indices are indicative of the progression of CHD. Thus, the two indices can be measured clinically in the examination of CHD patients.

关 键 词：冠心病 血清胆红素 血尿酸 

分 类 号：R541.4[医药卫生—心血管疾病]