临床检验指标判断冠心病患者病情的价值

Reference for diagnosis of patients with coronary heart disease by clinical examination

目的探究冠心病患者进行尿微量白蛋白联合凝血检验对患者病情严重程度的诊断参考价值。方法选取2018年12月至2019年12月本院收治的冠心病患者90例作为研究对象,将其分为稳定心绞痛组(30例)、不稳定心绞痛组(30例)、急性心肌梗死组(30例),并将同期健康受检者作为研究的对照组(60例),4组受检者均接受尿微量白蛋白联合凝血检验,平均尿微量白蛋白水平、平均血浆纤维蛋白原水平,同时观察尿微量白蛋白检测、凝血检验与冠心病的相关性。结果4组受检者两两比较,平均尿微量白蛋白水平均存在差异,且急性心肌梗死组平均尿微量白蛋白水平最高,对照组平均尿微量白蛋白水平最低,不稳定心绞痛组、稳定心绞痛组平均尿微量白蛋白水平分别为第二和第三,p<0.05;4组受检者两两比较,平均血浆纤维蛋白原水平均存在差异,且急性心肌梗死组平均血浆纤维蛋白原水平最高,对照组平均血浆纤维蛋白原水平最低,不稳定心绞痛组、稳定心绞痛组平均血浆纤维蛋白原水平分别为第二和第三,p<0.05;尿微量白蛋白检测、凝血检验与冠心病的相关性均大于0,其结果与冠心病呈正相关,p<0.05。结论尿微量白蛋白联合凝血检验是能够划分患者严重程度,对临床诊断有重要参考价值,可以考虑积极推广。

Objective To investigate the diagnostic value of coronary microscopy combined with urine microalbumin combined with coagulation test for the severity of the patient’s condition.Methods Ninety patients with coronary heart disease admitted to our hospital from December 2018 to December 2019 were selected as the research object,and they were divided into stable angina group(30 cases),unstable angina group(30 cases),acute myocardium Infarction group(30 cases),and healthy subjects in the same period as the control group(60 cases)of this study,4 groups of subjects all received urine microalbumin combined coagulation test,comparing the average urine volume of4 groups of subjects Albumin level,mean plasma fibrinogen level,and observe the correlation between urine microalbumin test and coagulation test and coronary heart disease.Results By compared with the two groups of subjects,the average urine microalbumin level was different,and the average urine microalbumin level in the acute myocardial infarction group was the highest,and the control group had the lowest average urine microalbumin level.The unstable angina group was stable.The average urine microalbumin level in the angina group was second and third,respectively,p<0.05;The average plasma fibrinogen levels in the 4 groups of subjects were compared,and the average plasma fibrinogen level was the highest in the acute myocardial infarction group,while the average plasma fibrinogen level in the control group was the lowest.The unstable angina group and the stable angina group.The average plasma fibrinogen levels were second and third,respectively,p<0.05;the correlation between urine microalbumin detection and coagulation test and coronary heart disease was greater than 0,and the results were positively correlated with coronary heart disease,p<0.05.Conclusions Urine microalbumin combined with coagulation test is able to classify the severity of patients,has important reference value for clinical diagnosis,and can be actively promoted.