血清胆红素与尿酸在冠心病患者临床检验中的价值分析  

The Value Analysis in Clinical Test of Serum Bilirubin and Uric Acid in Patients with Coronary Heart Disease(CHD)

作　　者：欧阳莉娜[1] 

机构地区：[1]江西省遂川县中医院,江西遂川343900

出　　处：《中国医学创新》2013年第27期89-91,共3页Medical Innovation of China

摘　　要：目的:对血清胆红素与尿酸在冠心病患者临床检验中的价值进行评价分析,为今后的临床诊治工作提供可靠的参考依据。方法:抽取在2010年7月-2013年7月本院收治的冠心病临床患者78例和同期健康体检者60例,对其展开血清胆红素与尿酸水平检测,并对比分析两组研究对象的检测结果。对冠心病患者行冠脉造影检测,计算Gensini积分,对比分析不同积分者的各项观察指标的检测结果。结果:冠心病组患者血清总胆红素、直接胆红素、间接胆红素水平均较对照组发生显著降低(P<0.05),血清尿酸水平较对照组发生显著升高,比较差异均有统计学意义(P<0.05)。随着Gensini积分的增加血清总胆红素、直接胆红素、间接胆红素水平逐渐降低,而尿酸水平则逐渐增加。结论:对血清胆红素、尿酸水平进行检测可对冠心病的诊断、冠状动脉狭窄程度评估等提供可靠的参考依据,值得关注。Objective： To evaluate and analysis the clinical trial value of serum bilirubin and uric acid in patients with coronary heart disease. To provide reliable reference for clinical diagnosis and treatment work in the future.Method： 78 clinical physical examination patients with coronary heart disease and 60 healthy patients were selected from our hospital between from July 2010 to July 2013, their serum hilirubin and uric acid level were detection, and two groups of test results were compared; the line of coronary angiography in patients with coronary heart disease was detection, to sum the Gensini score.The different between the observation indexes of the integral test results were compared and analyzed.Result： The serum total bilirubin, direct biliruhin and indirect bilirubin levels of the coronary artery disease patients were significantly lower than the control group decreased （ P〈0.05 ）, the serum uric acid level was significantly higher, there were statistically significant differences between the two groups （ P〈0.05 ） .As the Gensini score increased the serum total bilirubin, direct bilirubin, indirect bilirubin levels were gradually decreased l and the uric acid level was gradually increasing. Conclusion： To test the serum bilirubin, uric acid level can provides a reliable reference basis for the diagnosis of coronary heart disease and the coronary artery stenosis degree evaluation, it is worth paying attention to.

关 键 词：冠心病 血清胆红素 尿酸 GENSINI积分 冠脉狭窄程度 

分 类 号：R541.4[医药卫生—心血管疾病]