老年冠心病患者血脂与胆红素水平的研究

Study on the level of serum total bilirubin and lipids in elderly patients with coronary heart disease

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 explore the relationship between coronary heart disease （CHD） with serum bihmbin and lipid level. Methods A total of 178 people were observed, among which, 96 cases were clinically diagnosed CHD group and 82 controls were collected from the phisical examination group. The levels of bilimbin and lipids in serum were measured and compared. Results The concentration of total cholesterol （TC） , triglyeerides （TG） ,low density lipoproteins cholesterol （LDL-C） in CHD group were obvious higher than those in the control group （P 〈 0. 01 ） , while in the CHD group, the high density lipoperotteins cholesterol （ HDL-C ）, serum bilirubin （ TBil ）, direct bilirubin （ DBil ）, indirect bilimbin （IBil） were significant lower than those in the control group （P 〈 0.01 ）. Conclusion It was suggested that hyperhpemia and low concentration of serum TB were risk factors for aged CHD patients.