老年冠心病患者血脂及血清总胆红素水平的临床特点  

Clinical characteristics of serum bilirubin level in elderly patients with coronary heart disease

作　　者：范琳[1] 窦婧茹 王进叶 余彩明 程绍云[1] 

机构地区：[1]青岛市第三人民医院检验科,266041 [2]青岛市市南区八大湖街道巢湖路社区卫生服务中心,266071

出　　处：《中国老年保健医学》2016年第1期28-29,共2页Chinese Journal of Geriatric Care

摘　　要：目的观察并分析老年冠心病患者血脂和血清总胆红素水平特点,对患者预后及治疗提供一定的指导。方法以本院治疗的老年冠心病患者96例为研究对象,取其血液标本,测定甘油三酯(TG)、血清总胆固醇(TC)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)以及血清总胆红素(TBIL)水平,与来院体检的健康老年患者血样进行比照,观察存在的差异性。结果老年冠心病患者TG,TC和LDL-C水平明显高于健康老年人,而HDL-C和TBIL水平则明显低于健康老年人,差异显著(P<0.05)。结论血脂及血清总胆红素异常是老年人发生冠心病的危险信号,针对治疗能够起到延缓或改善CHD发生及其预后,该指标对CHD预警具有很好的参考价值。Objectives To observe and analyze the characteristics of serum lipids and serum bilirubin level in elderly patients with coronary heart disease, and provide some guidance for the prognosis and treatment. Methods 96 patients with coronary heart disease treated in our hospital were studied. The blood samples were collected to determine the levels of TG, serum total cholesterol （TC）, high density lipoprotein （HDL-C）, low density lipoprotein （LDL-C） and serum total bilirubin （TBIL）. Results the levels of LDL-C, TC and TG in elderly patients with coronary heart disease were significantly higher than those in healthy old people, but the levels of TBIL and HDL-C were significantly lower than those of healthy old people, and the difference was significant （P 〈 0. 05）. Conclusions serum lipids and serum total bilirubin level is a dangerous signal for elderly patients with coronary heart disease, and the treatment can delay or improve the occurrence and prognosis of CHD, which has a good reference value for CHD early warning.

关 键 词：冠心病 老年人 血脂 胆红素 诊断 

分 类 号：R541.4[医药卫生—心血管疾病]