老年心衰患者血清尿酸水平的探讨

Significance of determine serum uric acid in aged patients with congestive heart failure

目的 :探讨老年心力衰竭患者的血清尿酸水平的意义。方法 :采用日本 70 2 0日立全自动生化仪速力法测定 5 8例老年心力衰竭患者的血清尿酸。结果 :按心功能级别分组的血尿酸水平 : ～ 级组 (10例 ) 2 6 1.5 9± 70 .13μmol/L; 级组 (15例 ) 334.88± 92 .0 6 μmol/ L; 级组 (33例 ) 4 5 9.5 8± 10 5 .6 μm ol/ L。 3组血清尿酸水平差异非常显著 (P<0 .0 1) ,心功能越差 ,血清尿酸水平越高 (P<0 .0 1) ;男女两组血清尿酸值比较 ,差异有显著意义 (P<0 .0 5 )。结论 :检测血清尿酸水平 ,为判断老年心力衰竭患者病情及其预后 。

Objective:To explore the significance of determine serum uric acid in aged patients with congestive heart failure(CHF).Methods:Level of serum uric acid was determined in 58 aged patients with CHF. Results:Level of serum uric acid of NYHA Ⅰ～Ⅱ group patients was 261 59±70 13 μmol/L,that of NYHA Ⅲ?Ⅳ group was 334 88±92 06?459 58 ±105 60 μmol/L respectively.The difference of level of serum uric acid among 3 groups was very significant ( P <0 01).Conclusion:Level of serum uric acid is a good index for evaluating prognosis of patients with CHF.