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目的探讨血清血脂检测各项指标及胆固醇与高密度脂蛋白比值对冠心病(CHD)诊断的意义。方法已确诊的冠心病患者组196例与健康体检组92例,分别测定血清胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平。结果 TC、TG、LDL-C、TC/HDL-C水平CHD组高于健康体检组(P<0.05),HDL-C低于健康组。结论检测冠心病患者血清血脂水平对预测评估冠心病有一定临床价值,TC∕HDL-C比值对冠心病的诊断可能具有更好的预测价值。
Objective To investigate the significance of serum lipids detection and the ratio of cholesterol to high density lipoprotein in the diagnosis of coronary heart disease (CHD). Methods A total of 196 patients with coronary heart disease and 92 healthy subjects were enrolled in the study. The levels of serum cholesterol, triglyceride, high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL) -C) level. Results The levels of TC, TG, LDL-C and TC / HDL-C in CHD group were significantly higher than those in healthy control group (P <0.05), but HDL-C was lower than that in healthy group. Conclusion The detection of serum lipid levels in patients with coronary heart disease has some clinical value in predicting coronary heart disease. The TC / HDL-C ratio may have a better predictive value for the diagnosis of coronary heart disease.