156例维吾尔族和汉族冠状动脉粥样硬化患者RDW与血脂检测的临床意义

Clinical Significance of RDW and Blood Lipid Detection in 156 Uygur and Han Patients with Coronary Atherosclerosis

目的:分析新疆乌鲁木齐市冠状动脉粥样硬化患者RDW、ACE、HCY与血脂相关检查项目结果,讨论其与冠状动脉粥样硬化(AS)发病关系及不同民族间的差异。方法:检测分析乌鲁木齐市中医医院156名AS患者及同期150名体检者的HCY、RDW、ACE、TC、TG、HDL、LDL等项目,并进行统计分析。结果:(1)AS患者的RDW、TC、TG、LDL检测结果明显高于体检者,而HDL低于体检者,差异有统计学意义(P<0.05);(2)汉族AS患者ApoA显著高于维吾尔族患者(P<0.05),ApoB低于维吾尔族患者,ACE低于维吾尔族患者,但差异无统计学意义(P>0.05);(3)AS女性患者RDW、TC、TG、LDL、ApoB均显著高于男性患者,差异有统计学意义(P<0.05)。结论:RDW、TC、TG、LDL在冠状动脉粥样硬化的患者中升高,HDL降低,上述指标的变化可辅助冠状动脉粥样硬化病的诊断;冠状动脉粥样硬化患者载脂蛋白检测结果提示民族间的差异;冠状动脉粥样硬化女性患者RDW及血脂水平更高。

Objective:Analyze the results of RDW,ACE,HCY and lipid related examination in patients with coronary atherosclerosis in Urumqi,and discuss the relationship between them and coronary atherosclerosis,and the differences among different nationalities.Methods:HCY,RDW,ACE,TC,TG,HDL,LDL and other items of 156 patients with coronary atherosclerosis and 150 healthy persons in Traditional chinese Medcine Hospital of xinjiang Urumqi were detected and analyzed statistically.Results:(1)The detection results of RDW,TC,TG and LDL in patients with coronary atherosclerosis were significantly higher than those in physical examination,while HDL was lower than those in physical examination,and the difference was statistically significant(P<0.05).(2)The ApoA of Han nationality patients with coronary atherosclerosis was significantly higher than that of Uygur patients(P<0.05),ApoB was lower than Uygur patients,ACE was lower than Uygur patients,but there was no significant difference(P>0.05).(3)The RDW,TC,TG,LDL,ApoB of coronary atherosclerotic women were significantly higher than those of male patients(P<0.05).Conclusion:RDW、TC、TG、LDL increased and HDL decreased in patients with coronary atherosclerosis,these indicators change can,assist in the diagnosis of coronary atherosclerosis disease.The results of apolipoprotein detection in patients with coronary atherosclerosis suggest ethnic differences.RDW and lipid levels in women with coronary atherosclerosis are higher comparison with male patients.