冠状动脉粥样硬化性心脏病患者血脂和C反应蛋白检测的临床价值

Clinical value of detection of serum lipid and C reactive protein in patients with coronary heart disease

目的研究血清血脂[总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-c)及低密度脂蛋白胆固醇(LDL-c)]和C反应蛋白(CRP)水平的检测在冠状动脉粥样硬化性心脏病(冠心病)诊断和治疗中的临床价值。方法采用酶法和比浊法检测45例冠心病患者(冠心病组)及40名健康体检者(对照组)空腹血清中的血脂和CRP水平。结果冠心病组血清TC、TG、LDL-c和CRP水平均高于对照组,而HDL-c水平低于对照组,差异有统计学意义(P<0.05)。结论血清血脂和CRP水平的检测可以提高冠心病的临床诊断效率,为冠心病的预防和治疗提供重要依据。

Objective To study clinical value of the serum lipid （TC, TG, HDL-e and LDL-e） and C reactive protein （CRP） in the diagnosis and treatment of coronary heart disease （CHD）. Methods Detected 45 patients with coronary heart disease by enzyme method （CHD group） and 40 healthy pemons （control group） on blood lipid and CRP levels in fasting serum. Results The serum TC, CHD, LDL-e and CRP levels in CHD group were higher than those in control group, while the HDL-e level lower than that of the control group, the difference was statistically significant （P〈 0.05）. Conclusion The level of serum lipids and the detection of CRP can improve the diagn-osis efficiency of the CHD, provides the important basis for the prevention and treatment of CHD.