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目的探讨血脂水平及血清胆红素与冠心病的关系。方法96例经临床确诊的老年冠心病患者为观察组,82例老年健康体检者为对照组,采用全自动生化分析仪检测血脂水平及血清胆红素浓度。结果观察组的血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)水平高于对照组,差异有统计学意义;而血清高密度脂蛋白胆固醇(HDL-C)、总胆红素(TB il)、直接胆红素(DB il)、间接胆红素(IB il)均低于对照组,差异有统计学意义。结论老年冠心病患者血脂水平较高,而血清胆红素水平较低,提示高血脂及低水平胆红素是冠心病发病的危险因素。
Objective To investigate the relationship between serum lipid and serum bilirubin and coronary heart disease. Methods 96 cases of elderly patients with clinically diagnosed coronary heart disease were observed, and 82 elderly healthy subjects as control group, serum lipid levels and serum bilirubin concentrations were measured by automatic biochemical analyzer. Results The levels of total cholesterol (TC), triglyceride (TG) and low density lipoprotein cholesterol (LDL-C) in the observation group were significantly higher than those in the control group, and the difference was statistically significant. The levels of serum high density lipoprotein cholesterol (HDL- C, TB il, DB il and IB il were all lower than those in the control group, the difference was statistically significant. Conclusion Elderly patients with coronary heart disease have higher serum lipids and lower serum bilirubin levels, suggesting that hyperlipidemia and low serum bilirubin are risk factors for coronary heart disease.