血清胆红素及血清尿酸检测在诊断冠心病中的应用价值分析

Application of serum bilirubin and serum uric acid in the diagnosis of coronary heart disease

目的:分析进行血清胆红素及血清尿酸检测在诊断冠心病中的应用价值。方法:选择四川省营山县中医医院收治的45例冠心病患者和同期在该院接受健康检查的45例体检者作为研究对象。将45例体检者作为参照组。将45例冠心病患者作为观察组。对这90例研究对象均进行血清尿酸、血清总胆红素、血清直接胆红素及血清间接胆红素检测。然后,比较两组研究对象血清尿酸的水平、血清总胆红素的水平、血清直接胆红素的水平、血清间接胆红素的水平及其血清尿酸、血清总胆红素、血清直接胆红素及血清间接胆红素检测结果的阳性率。结果:观察组研究对象血清总胆红素、血清直接胆红素及血清间接胆红素的水平均低于参照组研究对象,其血清尿酸的水平高于参照组研究对象(P <0.05)。对观察组研究对象进行血清尿酸、血清总胆红素、血清直接胆红素及血清间接胆红素检测结果的阳性率均高于参照组研究对象(P <0.05)。结论:进行血清胆红素及血清尿酸检测在诊断冠心病中具有较高的应用价值。

objective: to analyze the application value of serum bilirubin and serum uric acid in the diagnosis of coronary heart disease. Methods: 45 patients with coronary heart disease (CHD) admitted to the hospital of traditional Chinese medicine in yingshan county, sichuan province and 45 patients who received physical examination in the hospital during the same period were selected as subjects. 45 subjects were selected as the reference group. 45 patients with coronary heart disease were treated as observation group. Serum uric acid, serum total bilirubin, serum direct bilirubin and serum indirect bilirubin were detected in all the 90 subjects. Then, compared two groups of serum uric acid level, the level of serum total bilirubin, direct bilirubin levels of serum, serum indirect bilirubin level and on the serum uric acid level and the levels of serum total bilirubin, direct bilirubin levels of serum, serum indirect bilirubin level and on the serum uric acid, serum total bilirubin, direct bilirubin in serum and serum indirect bilirubin of positive test results. Results: the levels of serum total bilirubin, serum direct bilirubin and serum indirect bilirubin in the observation group were all lower than those in the reference group, and the levels of serum uric acid were higher than those in the reference group (P < 0.05). The positive rates of serum uric acid, serum total bilirubin, serum direct bilirubin and serum indirect bilirubin in the observation group were all higher than those in the reference group (P < 0.05). Conclusion: the detection of serum bilirubin and serum uric acid has high value in the diagnosis of coronary heart disease.