血脂、胆红素、尿酸水平对诊断2型糖尿病合并冠心病的价值  

The value of blood lipid,bilirubin and uric acid in diagnosis of type 2 diabetes with coronary heart disease

作　　者：魏娟 Wei Juan(Bai Miao Community Health Service Center,the Traditional Chinese Medicine Hospital of Jingmen City,Hubei Province 448000)

机构地区：[1]湖北荆门市中医医院白庙社区卫生服务中心,448000

出　　处：《中国社区医师》2018年第12期111-112,共2页Chinese Community Doctors

摘　　要：目的:探讨尿酸、胆红素以及血脂水平对诊断2型糖尿病合并冠心病的临床价值。方法:收治2型糖尿病患者88例。单纯2型糖尿病患者40例为对照组,2型糖尿病合并冠心病患者48例为观察组。分别对两组的血脂、糖化血红蛋白以及血清胆红素水平进行检测。结果:与对照组比较,观察组的LDL-C、HbA_(1c)、TC以及TG水平均较高(P<0.05),观察组的Tbil、HDL-C水平均较低(P<0.05);同时,HDL-C和TBil呈正比关系,和LDL-C呈反比关系;HDL-C和HbA_(1c)呈反比关系,并且与TC、LDL-C呈正比关系(P<0.05)。结论:尿酸、胆红素、血脂水平在2型糖尿病合并冠心病的诊断中具有较高的价值。Objective:To investigate the clinical value of uric acid,bilirubin and blood lipid level in diagnosis of type 2 diabetes with coronary heart disease.Methods:88 patients with type 2 diabetes mellitus were selected,in which,40 cases with simple type 2 diabetes mellitus were selected as the control group.Patients with type 2 diabetes mellitus and coronary heart disease were selected as observation group(48 cases).Blood lipids,glycosylated hemoglobin and serum bilirubin levels in the two groups were detected.Results:Compared with the control group,the LDL-C,HbA1c,TC and TG levels in the observation group were higher(P<0.05),Tbil and HDL-C of the observation group were lower(P<0.05);at the same time,the positive relationship between HDL-C and TBil,was inversely proportional to the inverse relationship between HDL-C and LDL-C,and HbA1c,and was directly proportional to the TC and LDL-C(P<0.05).Conclusion:The level of uric acid,bilirubin and blood lipid has high value in the diagnosis of type 2 diabetes with coronary heart disease.

关 键 词：2型糖尿病 尿酸 胆红素 血脂 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病] R587.1[医药卫生—内科学]