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老年冠心病患者冠状动脉病变程度与血清胆红素及尿酸相关性研究 被引量:12

Study on coronary artery lesion degree and relationship between serum bilirubin and uric acid in elderly patients with coronary artery disease
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摘要 目的探讨血清胆红素及尿酸水平与老年心血管疾病的关系。方法选择经冠脉造影证实的老年冠心病患者203例,同期选择经过冠脉造影排除老年非冠心病者69例。冠心病组根据冠脉造影结果分为单支病变组(65例)、双支病变组(68例)和多支病变组(70)3个亚组,检测血尿酸和胆红素。结果单因素方差分析显示,血清尿酸、总胆红素、间接胆红素在各组间的分布均具有显著性差异(P均<0.01)。结论血清胆红素降低和尿酸增高与老年冠心病的严重程度相关,对评估冠心病患者的预后和疗效有一定的价值。 Objective It is to approach the relationship between the levels of serum bilirubin and uric acid and elder coronary artery disease.Methods 203 patients with coronary heart disease who were confirmed with coronary angiography were chosen as CHD group.69 patients with not coronary heart disease who were confirmed with coronary angiography were chosen as NCHD group.CHD group was divided into single vessel pathological changes group,double vessel pathological changes group and multi-vessel pathological changes group according to the coronary angiography results.The serum uric acid and serum bilirubin were detected.Results The analysis of one way variance showed that serum uric acid,serum total bilirubin(TBil) and indirect bilirubin(IBil) were distributional different among the groups(all P0.01).Conclusion The lowering of serum bilirubin level and the heightening of serum uric acid level are related risk factors to elder coronary heart disease.The detection of serum bilirubin and uric acid play an important role in diagnosis and prognosis for coronary heart disease.
机构地区 空军总医院
出处 《现代中西医结合杂志》 CAS 2011年第17期2091-2092,2095,共3页 Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词 冠状动脉狭窄 尿酸 胆红素 老年人 coronary stenosis uric acid bilirubin elder
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参考文献7

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